7, 6, 2021

How Laser Vein Ablation Works to Treat Varicose Veins


The VenaCure EVLT procedure is minimally-invasive and can be performed in a doctor’s office. It addresses both the cosmetic and medical issues associated with varicose veins.

A laser light emitted through a thin fiber inserted into the damaged vein delivers just a small amount of energy, causing the malfunctioning vein to close and seal shut.
Veins that are treatable with the VenaCure EVLT system are superficial veins. Laser therapy with the VenaCure EVLT system is indicated for varicose veins and varicosities with superficial reflux of the Greater Saphenous Vein, and in the treatment of incompetent refluxing veins in the superficial venous system in the lower limb.
After the VenaCure EVLT procedure, your body will naturally route blood flow to other veins.
Bulging and pain in the damaged and now-sealed vein will subside after the procedure.
Because VenaCure EVLT vein treatment eliminates varicose veins where they start, the results can be obvious right away.

Before undergoing any treatment, it is important to discuss with your physician the risks, benefits and alternatives to the procedure.
Complications with vein treatments are rare, but you should be aware of Potential Complications:

Potential complications include, but are not limited to the following: vessel perforation, thrombosis, pulmonary embolism, phlebitis, hematoma, infection, skin pigmentation alteration, neovascularization, paresthesia due to thermal damage of adjacent sensory nerves, anesthetic tumescence, non-target irradiation, hemorrhage, necrosis, DEHP exposure, skin burns and pain.

To read more about the VenaCure EVLT procedure that we perform at La Jolla Vein Care, click here. To schedule a consultation or telemedicine visit with one of our physicians to further discuss laser treatment and alternatives to laser, call us at 858-550-0330.

How Laser Vein Ablation Works to Treat Varicose Veins2021-06-07T13:47:35-07:00

3, 4, 2020

Laser Vein Ablation for Varicose Veins: What is it?


Laser Vein Ablation Uses Heat to Treat the Underlying Cause for Varicose Veins

Laser vein ablation, also known as endovenous laser therapy (EVLA), is a type of treatment for saphenous vein reflux, the underlying cause of most varicose veins. At La Jolla Vein Care, we offer ALL treatment modalities for varicose veins, not just one. Treatment is customized based on a person’s individual pattern of venous reflux (determined by ultrasound examination), personal preference, and personal health history.

The laser vein ablation procedure may be offered for backward flow (or “reflux”) in your saphenous vein(s).  The great and small saphenous veins are the two main superficial veins that run along the inner thigh/ calf and the back of the legs, respectively. Some people have anatomic variations where the small saphenous vein in the back of the calf extends to the thigh. Many people also have reflux in their anterior or posterior saphenous veins.

This minimally invasive procedure can be performed in the office in less than 30 minutes and patients return to their usual level of activity the same day.

How does the treatment work?

The skin is numbed with lidocaine, then a tiny wire and catheter are inserted into the vein.  The catheter delivers laser energy to the vein wall, causing it to seal shut. The remaining healthy veins continue to bring blood back to the heart.

How Laser Vein Ablation Works

What should I expect on the day of treatment?

The procedure is performed with local anesthesia but many patients elect to use a mild oral sedative (Valium), which is typically taken at check-in. Your leg will be prepped for the sterile procedure, then the doctor will perform an ultrasound to localize the vein.  Through a tiny puncture in the skin, the radiofrequency catheter is passed through the vein under ultrasound guidance.  We then use a needle to administer a combination of cool saline and local anesthetic around the vein.   This solution numbs the vein and insulates it from the surrounding tissue.  Your doctor will then treat the vein painlessly with laser energy.  Once your vein has been treated, we will help you in to your compression stocking, which you will wear for 72 hours continuously.  You will walk for 30 minutes prior to getting in your car.

What should I do after treatment?

You should walk 30 minutes twice daily after treatment.  This will alleviate discomfort and avoid the pooling of blood in the legs.   It is normal to have aching in the treated veins.  This response is well to walking, ice packs, and anti-inflammatory medications such as ibuprofen (Advil®, Motrin®) and naproxen (Aleve®).

Laser Vein Ablation steps to follow after treatment

What should I avoid after treatment?

For at least two weeks after treatment, you should avoid air travel, strenuous exercise (anything more than a brisk walk), heavy lifting, saunas or hot tubs, and leg massages.  All of these dilate the superficial veins and interfere with their healing.

What are the possible adverse effects?

Expect some bruising over the injection sites, which fades over about two weeks.  The skin overlying larger varicose veins may also develop some temporary

Endovenous laser vein ablation therapy (EVLT) uses a tiny catheter to seal incompetent veins shut.

Endovenous laser vein ablation therapy (EVLT) uses a tiny catheter to seal incompetent veins shut.

inflammation and/or brown “hyperpigmentation” as the blood products within those veins are absorbed by the body.

Less common compilations (less than 2% of patients) include clots within the deep veins or a temporary area of skin numbness over a branch of a skin nerve that travels close to a vein.

Laser Vein Ablation for Varicose Veins: What is it?2021-12-31T13:36:01-08:00

15, 4, 2011

Radiofrequency Technology: The Next Wave for Treating Varicose Veins

laser vein ablation

Endovenous laser vein ablation therapy (EVLT) uses a tiny catheter to seal incompetent veins shut.

La Jolla Vein Care is excited to introduce the VNUS Closure procedure to its patients. This procedure is also known as radiofrequency ablation (RFA). The procedure is minimally invasive—and it’s an advanced alternative to laser treatment. The result? Better outcomes with less pain and less bruising. In particular, this procedure is beneficial when there is venous insufficiency present in the Greater Saphenous and Small Saphenous veins, making it clear that the next wave of technology for vein treatment is here—and it’s at La Jolla Vein Care.

This is another picture, of before and after treatment with radiofrequency ablation in combination with foam sclerotherapy at La Jolla Vein Care.

Radiofrequency Technology: The Next Wave for Treating Varicose Veins2021-11-04T00:22:19-07:00
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