When it comes to treating varicose veins, endovenous laser ablation is the most common. It is also known as EVLA treatment. It is based on the transfer of the energy obtained by a laser generator into the vein causing the varicose vein with the help of a fiber optic catheter and the contraction and closure of the vessel as a result of the contraction and heat created by this energy in the vessel wall. Endovenous technology has been frequently used in the treatment of varicose veins for the last five years.
Varicose Veins Treatment with Endovenous Laser Ablation
With Endovenous Laser Ablation treatment, lasers with a wavelength of 810-940-980 nm and lasers with wavelengths of 1320 and 1470 nm are preferred. Clinical studies have shown that high-wavelength lasers are both more effective and have lower side effect rates. As DiverseAesthetic, we perform Endovenous Laser Ablation procedures by choosing 1470 nm laser and radialcatheter in addition to these studies in our own clinic.
The laser is a concept first introduced in 1959 by Columbia University professor Gordon Gould. One of the areas where laser energy is actually the first to be preferred is the field of medicine. At this stage, it is important to use the right wavelength laser beam beam for the right amount and the right texture. Therefore, it is an extremely important detail that you receive varicose vein treatment in a clinic that is specialized in its work.
How is Endovenous Laser Ablation Performed?
The application is started with doppler ultrasound and the vein system in the legs is mapped. The vein is cannuated from the place where the application will be made. Then, the laser catheter with doppler is advanced along the vena safenamagna. It is placed in such a way that the vein is 2 cm behind the place where it is connected to the main femoralvein.
The position of the catheter is adjusted so that it can be seen under the skin by both laser light and doppler USG. Anesthesia is applied throughout the entire saphenous vein and around the perimeter. The data is fully surrounded by the anesthesia solution and a fluid cushion is obtained between the surrounding tissues along the entire length of the vein.
After the application of inductive anesthesia, the energy density determined according to the patient and the vessel diameter is adjusted. Heat and contraction are transmitted to the vessel wall in a continuous withdrawal or intermittent manner. At this stage, vessel shrinkage and closure are provided.
According to the doctor’s preference, varicose veins that cause image pollution and pain are removed by microphlebectomy technique before or after EVLA application. At this point, no stitches are made. Incisions strip closure method is applied. At the end of the application, the vein that has been ablated with Doppler USG is examined and it should be seen that it is completely obliterated. At the next check-up, the Doppler USG result is used for comparison. At the last stage, the person’s leg is wrapped with a bandage and the patient is taken to the service.
Who is Not Suitable for Endovenous Laser Ablation?
Endovenous Laser Ablation is not suitable for the following people:
- Patients who are prone to thrombosis or bleeding
- Those with deep venthrombosis
- Immobile patients
- Those with leg artery disease
- It is not suitable for pregnant women.
What are the Side Effects of Endovenous Laser Ablation Treatment?
Side effects with Endovenous Laser Ablation are very rare and are generally simply tolerated. These:
- At the end of the procedure, there may be a slight numbness in the thigh section during the first few weeks. A feeling of withdrawal may also be experienced. However, this situation will pass in a short time.
- Redness and sensitivity may occur on the skin. It may be possible to get rid of pain easily with painkillers. It disappears in 3-7 days.
- Bruising in the procedure area may occur in rare cases. At the end of a week, the bruises in the patient will improve.