Endovenous Laser Ablation

Endovenous laser ablation (EVLA) is currently the most effective alternative to surgical stripping of large malfunctioning veins; the underlying cause of varicose veins.

Endovenuous Laser Ablation

EVLA is performed in our state of the art treatment centre at The Vein Clinic as a “walk in walk out” treatment under tumescent anaesthesia (dilute local anaesthetic), thereby avoiding all the risks of general anaesthesia and the discomfort of traditional vein surgery.

A laser fibre is inserted into the abnormal vein via a small incision or skin puncture and is fed into the vein under ultrasound guidance. A “cuff” of tumescent solution is then injected around the length of the vein. This provides local analgesia, protection of the adjacent tissues from heat damage and helps collapse the vein to be treated. The laser is then activated and the fibre is slowly removed. The laser heat energy destroys the cells lining the vein wall. The vein remains in-situ and is gradually resorbed by the body.

EVLA is very well tolerated and success rates and recurrence rates are far superior to surgery. As there is no physical removal of the varicose vein from the body, there is much less associated discomfort, and recovery times are far shorter than with other techniques.

EVLA was popularised by an American Radiologist Dr Robert Min in the late 1990’s and was introduced into Australia in 2002. Since this time, further advances in EVLA technology, including the use of higher frequency (1470 nm) laser energy and specialised laser fibre design, have reduced the side effects of this procedure over the original systems used.

Large Varicose Veins - Treated non surgically with laser as featured on TV

This 50yr old man had noticed increasing enlargement of varicose vein in his anterior calf over the last 5 years.

The incompetent great saphenous vein (GSV) was the "feeder" for these varicose veins and was eliminated through a single IV puncture site using our latest technology 1470nm endovenous laser and special "radial" fibre which results in less bruising and discomfort than older style laser and cheaper "bare" fibres commonly in use.

2 weeks following treatment the "branch vessels" have reduced markedly in size without the need for invasive surgery (no GA, cuts, bruises or stitches).

Ultrasound guided foam sclerotherapy was administered at 3 months to close the small remaining branches.

These results were obtained with two treatments of less than 1hr each on a "walk in - walk out" basis without the need for any surgery.

Pre treatment – Very large varicose veins right calf due to incompetent right great saphenous vein (GSV)

Post 2 weeks post EVLA (endovenous laser ablation) of right great saphenous vein (GSV) showing a marked reduction in the size of the varicose veins.

Post - 18mth follow up show that all prominent veins have now resolved without the need for any surgery !

  • University of Melbourne