Endovenous Laser Ablation


Endovenous laser ablation is a treatment option for varicose veins. The physician inserts a tiny fiber into a varicose vein through a catheter. The fiber sends out laser energy that kills the diseased portion of the varicose vein. The vein closes and is eventually absorbed by the body.

Varicose veins are the swollen veins most often found in the legs. Varicose veins typically appear blue, bulging, and twisted and are generally caused by sitting or standing for long periods of time and high blood pressure inside your leg. Other risk factors include:

  • Age

  • Being overweight

  • Deep Vein Thrombosis

  • Family history of varicose veins

  • Lack of exercise

  • Sedentary lifestyle

A catheter (long, thin plastic tube) is used to deliver the endovascular stent graft inside the aortic aneurysm. A stent graft is a fabric tube supported by metal wire stents. The catheter is placed through an artery in the leg near the groin, using an x-ray for guidance. Once the compressed stent graft is in position, it is fastened into place and the catheter is removed.  

This procedure is minimally invasive and is done in The Vein Clinic at Vascular Tyler. The treatment takes 60 to 90 minutes. Additional treatments may be required, such as microphlebectomy (the removal of small, superficial varicose veins). Complications of EVA are rare, but they include the following: deep vein thrombosis, and infection at the incision site, and thrombophlebitis.

A compression stocking is put on over the pressure bandages to minimize bruising and swelling. The stockings should be worn for a complete 72 hours immediately following the procedure and then during the day for 1 to 2 weeks.


The Patient Experience

Dr. Robbins looked at my imaging and made an appointment that same day for me to come in. At Vascular Tyler, it’s just like a family environment every time I come in here. If I have to go the doctor’s (office), this is where I want to go.
L. Cunningham, Patient
We don’t want to spend a whole lot of time with rehabilitation or in some sort of medical facility, so it was great discovering that there’s only little or no downtime. It was a matter of hours instead of days or weeks.
B. Finch, Patient
I had excruciating pain and was told I needed a knee replacement. But Dr. Robbins said I just need vascular surgery. They gave me relief from my pain, and they’re kind and interested in you as a patient and a person. This is the place to come.
M. Finch, Patient

Are your veins showing more than usual or do they look abnormal?

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