Doctor insights on:
Is A Evlt Procedure Painful
EVLT painful?: This treatment for varicose veins can be done without sedation, ivs, etc but typically a numbing solution is injected to "float" the vein in numbing medicine. Those injections are uncomfortable but it is rare for a patient who needs both legs treated to fail to come back for their second leg. I conclude, therefore, that while uncomfortable, most patients don't see this as too troublesome. ...Read more
"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 ...Read more
EVLT Varicose Veins: Evlt, or endovenous laser therapy, for varicose vein disease is associated with very little discomfort. It is typically done in the doctors office using local anesthetic with xylocaine. Some doctors also utilize Emla (lidocaine and prilocaine) cream, a topical skin anesthetic. It is very well tolerated by patients & takes about 40 minutes. If you are anxious about it, as your doctor for a valium to take just prior. ...Read more
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
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
It depends when usually ok a few days after
You may feel a pulling sensation in the leg as the vein is shrinking, but usually not an issue ...Read more
Very well: Varicose veins on the surface are often related to poorly functioning veins below the skin. These veins are detected by ultrasound. Evlt is an excellent treatment for many of these underlying veins. A small needle is placed into the underlying vein. A laser fiber is placed through the needle into the vein. After local anesthesia, laser energy is delivered to the vein in order to eliminate it. ...Read more
Yes: Evlt is a minimially-invasive alternative to stripping. For the right vein problem it is a treatment with a high success rate and low complication rate. Evlt is typically done to treat incompetent veins below the skin that are feeding into surface varicose veins. Consult a knowledgeable and experienced vein physician for a proper evaluation and treatment plan. See http://www. Phlebology. Org/. ...Read more
Is there any contraindication to using emla (lidocaine and prilocaine) cream prior to an evlt procedure for a healthy patient with no allergy to the cream? Thanks!
No: But it won't do much for you and probably is not needed. ...Read more
My wife had an evlt procedure on her leg, 1.5week ago, she now have a lump inner thigh, close to groin, not tender. Is this normal? Or could be dvt?
Perhaps: It is not uncommon to feel the treated vein as a "lump". It could be a reactive lymph node as well or a superficial thrombosed vein. It would be something to discuss with your treating physician to determine if an ultrasound would be indicated. The incidence of DVT after evlt is quite low, but you should discuss it with the treating physician. ...Read more
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
EVLT: "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. ...Read more
RF v EVLT: Though there are some subtle differences it would not be unfair to characterize the two procedures as the same but simply using a different energy source. ...Read more
RFA vs EVLT: Both treatment are very effective. Evlt uses laser heat and rfa used radiofrequency heat. Rfa is associated with a little less pain & bruising after the procedure, but both treatment have minimal recovery time. Both are done in a doctors office and treat varicose vein disease associated with venous reflux. Radiofrequency ablation tends to be a little more expensive due the the cost of the device. ...Read more
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
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
Complications differ: Following EVLT different types of complications can occur. The most significant would be the development of DVT, but fortunately, this is a very rare complication. The most common complaints (which are not necessarily complications) that I see are bruising, swelling, "lumps" from the microphlebectomy areas, redness along the laser site and occasionally numbness. See a vein specialist if worried. ...Read more
Many have: Somewhere between 200 and 250 thousand people will have an evlt procedure for their varicose veins in the us this year. As dr. Grover mentioned, evlt is very similar to the rf procedure. Rf will probably account for another 150, 000 varicose vein treatments in the us in 2012. They are equally effective and equally safe and well tolerated. They have almost completely replaced vein stripping. ...Read more
Rarely in Good Hands: If you are being treated by a board-certified vascular surgeon who has extensive training & experience in using EVLT laser, the risks of complications are very low. The most common risks including blood clots, phlebitis, thermal nerve injury, skin discoloration, skin burns, or damage to deeper veins. All of these risks can be kept very low by using proper and careful technique. ...Read more
Sclerotherapy: Spider veins of legs are usually treated with sclerotherapy. Evlt is a minimally-invasive alternative to stripping, used to treat saphenous vein reflux [ found on ultrasound] that leads to varicose vein problems. Surface varicose veins are also treated with sclerotherapy or phlebectomy. ...Read more
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
Usually both: Spider veins are typically treated with sclerotherapy. If there are varicose veins, an ultrasound should be done to determine if poorly functioning underlying veins are present. If so, often evlt (endogenous laser) is used to treat them. In some cases ultrsound-guided sclerotherapy is done to the underlying veins. Surface varicose veins are treated with ambulatory phlebecomty and/or sclerotherapy. ...Read more
I'm about to have evlt for venous insuffic. Why is exercise post proc forbidden? Is it the impact, the muscle tension, or the raised heart rate?
It is not forbidden: Exercise, within reason, is OK & actually encouraged after EVLT as it can help reduce the incidence of blood clots & help with recovery. Usually it is recommended to avoid excessive exercise such as heavy weight lifting or extreme exercise such as prolonged running, as there is some theoretic risk of these activities increasing the possibility that the treated vein does not respond appropriately ...Read more
Another site: Evlt should take care of the major vein associated with the vv, and there is a 1-2% recanalization rate where the vein opens up again with time, and this can be treated. New vv can pop up in different areas due to incompetent accessory veins, and perforator veins, especially if risk factors are present: heredity, multiple pregnancies, obesity, lifestyle (prolonged sitting/standing). ...Read more
Suggest treatment: In my experience and opinion, you will likely do better from a vein standpoint if you go into a pregnancy in better vein shape than if you have significant varicose veins. I've had patients have evlt, get pregnant, and do just fine. However, some new veins may appear during pregnancy. ...Read more
I had endovenous laser treatment (evlt) done on my legs 3 yrs ago and the pain is back. What would cause it?
Recurrent Pain: It could be that the treatment failed and that the vein that was treated is "open" again. Possible that another vein in your leg failed. Possible that a totally different issue, not vein related, is causing your current symptoms. I would suggest you get a follow-up ultrasound by a vein specialist to see if the condition is related to a recurrent vein problem and then go from there. ...Read more
Had EVLT and foam sclerotherapy done a few months back. Is it safe to now go under general anesthesia for my wisdom teeth? Any contraindications?
Yes: With the treatment being done a few months ago, there should be no reason that you can't undergo general anesthesia safely. Particularly if the vein treatments went well without complication. ...Read more