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Doctor insights on: Evlt

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Dr. Joel Gotvald
110 doctors shared insights

Evlt (Overview)

"EndoVenous Laser Treatment" or EVLT is a minimally invasive method of treating leg varicose veins using thermal energy from a laser fiber that is inserted into a faulty vein. It is typically performed in a doctors office by a vascular surgeon under local anesthesia with Xylocaine (lidocaine). It has a 98% cure rate for venous insufficiency that leads to varicose veins of the legs. It is a safe procedure.


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What is evlt?

What is evlt?

EVLT: Evlt....Endovenous laser therapy. This is an advanced surgical procedure designed to close varicose veins. In short, using local anesthesia, the varicose vein of the lower limb is entered to allow access to the inside of the vein. A laser fiber is placed into the vein and by ultrasound guidance advanced into position. The vein is closed by laser heat after surrounding the vein with anesthetic. ...Read more

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Dr. Joel Gotvald
110 doctors shared insights

Evlt (Overview)

"EndoVenous Laser Treatment" or EVLT is a minimally invasive method of treating leg varicose veins using thermal energy from a laser fiber that is inserted into a faulty vein. It is typically performed in a doctors office by a vascular surgeon under local anesthesia with Xylocaine (lidocaine). It has a 98% cure rate for venous insufficiency that leads to varicose veins of the legs. It is a safe procedure.


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I'm considering having evlt done. End of april or may is going in the sun ok after procedure? Also how painful is evlt and pain in recovery?

I'm considering having evlt done. End of april or may is going in the sun ok after procedure? Also how painful is evlt and pain in recovery?

Evlt: The procedure itself is relatively pain free. To accomplish that, however, a numbing solution is used to surround your vein before the laser is activated. That requires a series of injections in the skin around the vein. Those injections sting; are uncomfortable--some would say hurt. I have not had a patient needing both legs treating, fail to come for the second leg after doing the first. ...Read more

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Can you tell me if i get evlt, and later get pregnant, will my vericose vein symptoms come back?

Can you tell me if i get evlt, and later get pregnant, will my vericose vein symptoms come back?

Should not recur.: Evlt should close the leaking (refluxing) valves leading to varicose veins and , therefore, prevent varicose veins from returning. However, valves in other veins can be stretched during pregnancy leading to new vein formation. The veins that were treated by evlt, if done correctly, should have a recurrence rate of about 2%. You should see a vein specialist. ...Read more

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My ankle is covered in spider veins caused by lesser saphenous reflux, evlt will be expensive. Just curious if ohip covers stripping ..What to expect?

My ankle is covered in spider veins caused by lesser saphenous reflux, evlt will be expensive. Just curious if ohip covers stripping ..What to expect?

OHIP cover stripping: To the best of my knowledge, ohip does cover stripping but not evlt. In the us, essentaially all insurers cover stripping and evlt. It is worth checking with ohip to see if their policy has changed about evlt. If you can get it done, rather than stripping, and not have it cost enough money to break the bank, you should strongly consider it over surgery. ...Read more

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I had endovenous laser treatment (evlt) complications. Who do I see?

I had endovenous laser treatment (evlt) complications. Who do I see?

EVLT Complications: Depends on who did the treatment & what the complication was. If a vascular surgeons performed your treatment, then they should be able to deal effectively with any complication. Blood clot or vein damage complications are typically best treated by a vascular surgeon, and there is a chance you may need catheter thrombolysis to dissolve the clot. Treat the complication as soon as possible. ...Read more

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What to do if i suffer from vein reflux disease and i'm a candidate for evlt, i will go under the procedure in next two weeks, is it painful?

What to do if i suffer from vein reflux disease and i'm a candidate for evlt, i will go under the procedure in next two weeks, is it painful?

Minimally Sore After: Typically most patients have minimal discomfort during & after the procedure. During the procedure there is some mild discomfort during the injections that are used to numb the leg (numbing "shots"). The discomfort is usually right at the treatment site afterwards & is usually controlled with ibuprofen or Tylenol (acetaminophen). The discomfort is usually does not limit normal activities or ability to work. ...Read more

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Post evlt 5 days. No expected symptoms. No bruising, no hard cord in my leg, problem spot still hurts. Does this mean it didn't work, or veins reopend?

Post evlt 5 days. No expected symptoms. No bruising, no hard cord in my leg, problem spot still hurts. Does this mean it didn't work, or veins reopend?

Not Necessarily: It can take up to 6 weeks to get the appropriate response following evlt. Not everyone gets bruising or a hard cord in the leg following treatment, so that is not a problem that you did not. There is less than a 5% failure treatment rate after evlt, so the odds are that the treatment did work. I would always suggest an ultrasound within 1 week after treatment ; that should give you the answer. ...Read more

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What are the complications of endovenous laser treatment (evlt)?

What are the complications of endovenous laser treatment (evlt)?

Endovenous laser: Complication chances are minimal. There a 1% risk of blood clot. There is a small chance of skin numbness as a results of thermal injury to nerves. Small chance of skin pigmentation / discoloration at treatment sites, but this usually resolves. Small chance of vein damage or bleeding. Have a board-certified vein specialist perform your procedure (preferrably a vascular surgeon). ...Read more

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What is evlt?

EVLT: Evlt....Endovenous laser therapy. This is an advanced surgical procedure designed to close varicose veins. In short, using local anesthesia, the varicose vein of the lower limb is entered to allow access to the inside of the vein. A laser fiber is placed into the vein and by ultrasound guidance advanced into position. The vein is closed by laser heat after surrounding the vein with anesthetic. ...Read more

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