Endovenous Laser Ablation

Endovenous Laser Ablation treats the following Vein Diseases


Endovenous ablation is the state-of-the-art method used to eliminate the incompetent saphenous veins. This new procedure is performed without a surgical incision. With the endovenous laser procedure, a special laser fiber is placed through a needle in the saphenous vein and energy is applied which heats the inside of the vein destroying the lining and fibrosing the vein.

How your varicose veins are going to improve after laser treatment.

Varicose veins that result from valvular failure in the saphenous veins (long saphenous vein or small saphenous vein), are the result of reflux (blood flow in the vein, instead of going towards the heart goes back in the opposite direction), and the consequent hypertension inside of the venous system. This hypertension produces dilatation in the branches of the main vein (saphenous vein), and this tortuosity is what is called varicose vein.

The treatment of this condition aims at stopping the reflux and removing the dilated veins (varicose veins). The reflux is fixed by closing the vein with the EVLT laser procedure (endo-venous-laser procedure). By doing this, blood flow is redirected through normal veins. Studies that we have performed have shown that in about 50% of patients, the dilated veins will decrease significantly in size or regress completely in about 1-2 months after the EVLT procedure. In these patients, no further treatment may be required. In the remaining patients, a small procedure called “microphlebectomy” is necessary. This procedure consists of removing the varicosities through 1-2 mm incisions using special instruments and is done under local anesthesia.

In summary, your treatment will consist first of doing the EVLT laser procedure. After 1-2 months, if the varicose veins still persist and you want your legs to look completely normal, a microphlebectomy will be performed.

If you need further clarification, please contact the office and we will be more than happy to further clarify your treatment.

What to expect during surgery.

This procedure is done in the office under local anesthesia. At the end of the procedure, the leg is wrapped with an elastic bandage or compressing stocking to be used for one day, and the patient is asked to walk normally. The whole procedure takes about 45 minutes.

Post treatment.

In the post-operative period there is minimal pain and over-the-counter analgesics is usually all what is needed. The patient is asked to walk for a minimum of one hour per day and can return to full normal activities the next day.

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What Sets Us Apart?

  • Over 6,000 patients treated
  • Over 22,000 surgeries performed
  • More than 40 Years of Experience
  • Dr. Schanzer carefully determines which veins are affected and to what degree