Endovenous Laser Ablation (EVLA)

One of the options we use to treat varicose veins is a laser-based treatment called endovenous laser ablation, or EVLA. This procedure closes problematic veins so that blood is rerouted to healthier pathways.

Endovenous Laser Ablation

What is endovenous laser ablation?

EVLA uses optic fiber and laser technology. Under ultrasound guidance, the vein doctor inserts a tiny fiber into the unhealthy vein, then uses a small laser beam to heat the problem area until the valve and vein close. The procedure is minimally invasive, and will help the veins in your legs promote healthier blood flow right away.

What Endovenous Laser Ablation Treats

Vein Treatment FAQs

  • EVLA is covered by insurance because this vein treatment is done to address medical symptoms related to the underlying cause of vein disease, known as chronic venous insufficiency. Varicose vein treatments, such as EVLA, address symptoms like cramping legs, itching and tingling, and leg swelling. At Metro Vein Centers, we accept over 200+ insurance plans and work directly with your insurance provider to maximize your coverage, without any paperwork or hassle for you.

  • EVLA uses optic fiber and ultrasound-guided laser technology to close off damaged vein valves. A tiny fiber is inserted through the damaged vein while you are under local anesthesia, and a laser beam is used to heat and close the unhealthy veins.

  • Endovenous laser ablation is a minimally invasive procedure performed right in our offices. The treatment uses local anesthetic and takes only 30 minutes from start to finish. You’ll be able to walk right out of the office and drive home.

    Typically, patients are able to get back to work within 24 hours, and experience very little pain or side effects. After your treatment, we recommend you come back for a quick ultrasound check-up within a week to assess results.

    • First, we’ll numb the treatment area using a local anesthetic.
    • Then, using an ultrasound-guided laser beam, we’ll thread a small optic fiber into the damaged vein.
    • The vein doctor will use an ultrasound-targeted micro laser beam to heat and close off the damaged vein.
    • Now sealed off, the useless vein will be reabsorbed into your body as your blood circulates within healthier pathways.
    • We’ll give you compression stockings to wear during your quick recovery, and will schedule a follow-up appointment.
  • Typically, patients only experience tenderness around the treatment site, possible bruising, and/or a tight feeling in the legs. This generally subsides within 24–72 hours of your EVLA treatment.

  • Endovenous laser ablation is a great option for patients with large, poorly functioning veins. Due to the insertion of the fiber, EVLA is best for providing leg pain relief for patients with relatively untwisted, straight veins. During your initial consultation, our board-certified vein doctors will determine the best course of action for your specific vein health needs.

Book a free evaluation today to get started on your custom treatment plan in New York, New Jersey, Michigan, Connecticut, or Texas.

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