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How does ELVeS work?

I have varicose veins and my doctor recommended that I get the Endo Laser Vein System procedure. I am not familiar with anyone who has had this procedure, how exactly does it work?

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Doctors Answers (6)

Your doctor will be able to describe the exact procedure. We perform radio frequency instead of laser because the pain is less for our patients. But the treatment is similar. We gain access to your diseased vein with the help of ultrasound. Once the needle is in your vein we can feed the radio frequency fiber (or laser) into the vein to the highest point where you have disease. Next we inject numbing medication around the entire length of the vein so that you do not feel any pain during the procedure. After the vein is numb, we then use the radiofrequency energy to seal closed the vein.

The endovascular vein treatments ELVeS, EVLT, and other similar office procedures place a slender fiber optic catheter into a varicose vein under ultrasound guidance through a 1mm puncture. Once the placement of the catheter is completed and the varicose vein is anesthetized with a dilute lidocaine solution then the Laser fiber is energized. The fiber is slowly withdrawn as the Laser delivers energy directly into the center of the vein which causes the vein to close permanently. These type of thermal endovenous ablation procedures are minimally invasive and have made older stripping procedures obsolete. Following the procedure, you may return to school or work immediately.

If you have venous insufficiency, this is a minimally invasive way of fixing the vein. What the physician does is map the vein with an ultrasound. Then under ultrasound guidance, the physician numbs the skin and enters the vein using a needle. Through that needle they put a wire in the vein and then change this wire for a laser. The laser is threaded up the vein until it is about 2 cm away from the juncture with the deep vein. Local anesthetic is injected around the vein. Then,the laser heats the blood and vein from the inside and closes it shut. It takes roughly 30 minutes to do the whole procedure and has around a 99% success rate. This vein closes and the blood goes to veins that are working better, improving the circulation.

Lasers are a source of heat. The laser fiber is inserted to the saphenous vein and then slowly removed, heating the inside walls of the vein. This heat damages the vein walls causing them to stick together and close the vein. The body will then absorb this vein over time.

Endovenous Laser is using a laser to close down the vein that is feeding your varicose veins. This is done with the guidance of an ultrasound and the use of local anesthesia. The Venefit or VNUS (radiofrequency closure) procedure is done the same way but with radiofrequency heat coils and tends to leave less bruising and discomfort after. The risk of all of these procedures is the risk of a blood clot and it is importance to ambulate and wear compression stockings after. You should have a thorough ultrasound first to map out your legs and determine if endovenous laser or VNUS closure the most appropriate treatment for you.

A tiny laser fiber is threaded up the diseased vein below the skin surface, local anesthetic is applied, and the laser is slowly withdrawn as it seals the vein shut. ELVeS is one of the latest generation lasers, which means minimal discomfort and bruising afterward.

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