Endovenous Laser Ablation (EVLT)

Endovenous Laser Ablation (EVLT) | Pittsburgh

What is Endovenous Laser Ablation (EVLT) for Varicose Veins?

Endovenous Laser Ablation (EVLT) is a minimally invasive procedure that seals troublesome veins without removing them. The procedure is done in our office.

Endovenous Laser Ablation (EVLT) Procedure

Using a small amount of local anesthesia (Lidocaine) a laser fiber is inserted into the problem vein usually just above the knee through a very small needle. Using advanced ultrasound technology to visualize the laser, it is advanced within the vein to the groin. Dilute local anesthesia is then placed along the course of the laser catheter to insure that there is no pain during the procedure and to insulate the surrounding tissue. When the laser is activated it generates heat which painlessly seals the vein. The laser is slowly pulled back and is totally removed. Only a small needle hole is left in the skin. A compression stocking is placed on the leg and you can walk to your care and drive yourself home if you choose.

Common medical Symptoms that Endovenous Laser Ablation (EVLT) treats

EVLT treats damaged veins that cause:

  • Varicose veins
  • Heavy legs
  • Swollen legs
  • Throbbing legs
  • Aching legs
  • Itching legs
  • Night cramps
  • Tired legs
  • Discoloration of the legs
  • Venous eczema
  • Leg ulcers

Endovenous Laser Treatment Side Effects

The majority of patients do not experience any side effects, however possible side effects of EVLT are:

  • Discomfort in the area of the treated vein. This usually occurs a few days after the procedure when the vein is scarring closed
  • Bruising
  • Superficial phlebitis
  • Rare cases of deep vein thrombosis (DVT) that are easily treated have been reported

What does the procedure feel like when it is being performed?

Most patients do not feel any pain or discomfort during the procedure. The initial injection of local anesthesia may cause a stinging sensation.

Is Endovenous Laser Ablation (EVLT) covered by insurance?

Most EVLT procedures are covered by insurance. Our insurance coordinator will work closely with your insurance company to maximize your benefits and obtain any prior authorizations.

Endovenous Laser treatment cost

Consultations for venous disorders and venous ultrasound examinations are covered by your insurance. Our insurance coordinator can check whether you are responsible for a co-pay or have an unmet deductible.

An EVLT will only be performed after our insurance coordinator has made sure that your insurance will cover the cost of the procedure.
Our insurance coordinator will work with both you and your insurance company so you know ahead of time whether:

  • Your insurance covers the procedure that is planned.
  • What your co-pay is.
  • Whether you have a deductible that applies and how much of the cost you will be responsible for.

Who Performs the procedure?

The procedure is performed by a team that consists of a Vascular Surgeon, a specially trained Vascular RN and a Vascular Ultrasound Technologist. Each person has a defined role and through this teamwork an optimal result is achieved.

What is used for the Endovenous Laser Ablation?

For the EVLT procedure, local anesthesia, a laser, and ultrasound guidance are used.

How many sessions will I need?

The problem vein is usually sealed and treated with one laser treatment. Depending upon the extent of your condition, other procedures may be necessary to treat other problem areas.

Where will the procedure be performed?

The procedure will be performed in your vascular surgeon’s office.

If I need the procedure, how long will I have to wait for it to be performed?

Every insurance company has a different waiting period. Wait times range from one day to three months.

Endovenous Laser Ablation (EVLT) Recovery Instructions

You should avoid heavy lifting or strenuous exercise for one week following the treatment. You will be required to wear a compression stocking on your treated leg for four days after the procedure. After the first night, you may remove the compression stocking while you sleep.

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