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Doctor insights on: What Is Evlt

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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
115 doctors shared insights

Evlt (Definition)

"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


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Is a evlt procedure painful?

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

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Can i exercise bike 2 days after evlt?

Can i exercise bike 2 days after evlt?

Not recommended: I advise patients to avoid strenuous exercise for 1 week. You can use the bike gently but not to excess. Avoid "bouncy " exercises like running or tennis. ...Read more

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What is the definition or description of: evlt?

What is the definition or description of: evlt?

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

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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 share the experience.Is radio_frequency ablation (rfa) any better than evlt?

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

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Is it ok to do Pilates (not using any equipment) the weekend following an evlt procedure?

Is it ok to do Pilates (not using any equipment) the weekend following an evlt procedure?

Evlt: 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

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Is the evlt procedure for veins painful?

Is the evlt procedure for veins painful?

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

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Is radio frequency ablation (rfa) any better than evlt?

Is radio frequency ablation (rfa) any better than evlt?

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

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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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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 had endovenous laser treatment (evlt) complications?

What to do if I had endovenous laser treatment (evlt) complications?

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

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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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How does the evlt procedure treat varicose veins?

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

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Varicose veins. I have been advised evlt procedure . Is it good?

Varicose veins. I have been advised evlt procedure . Is it good?

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

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Varicose vein treatment, is evlt procedure okay?

EVLT Speak to: Your surgeon whom you consulted risk and benefits . Endo venous laser therapy ( e v l t ) is one of many accepted treatments for varicose veins. ...Read more

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Has anyone ever had evlt laser on their varicose veins?

Has anyone ever had evlt laser on their varicose veins?

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

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In evlt, laser on the varicose veins, can any bad things happen?

In evlt, laser on the varicose veins, can any bad things happen?

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

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Do they treat varicose or spider veins with evlt or sclerotherapy?

Do they treat varicose or spider veins with evlt or sclerotherapy?

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

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