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The EVLA Procedure

Member of:

1. Please arrive 30 minutes before your procedure time, to allow for proper preparation before the procedure. On arrival, you will be asked to change into a procedure gown and remove your trousers and shorts leaving your undergarments and socks on.
   
   
2. A local anesthetic cream will be applied to the area to be treated. This should be applied atleast 20 minutes before your procedure time, for maximal effectiveness. You will be given a oral sedative (Ativan) and pain killer ( Oxycodone) based on your age and weight.
   
   
3. A pre-treatment photograph will be taken for your chart. The vein to be treated will be mapped out by ultrasound by the physician performing the procedure. A tourniquet will be applied to your leg, in a standing position.
   
   
4. You will then lie down on the treatment table and cleaning solution applied on the leg(s). Sterile drapes will be placed around the treatment leg (All materials used are sterile and disposed after single use).
   
   
5. Local anesthetic (“freezing”) will be injected at the vein entry site. A needle is placed through the skin using ultrasound guidance into the vein to be treated. At The Vein Institute of Toronto™ we utilize a unique micropuncture technique to maximize success and minimize your discomfort.
   
   
6. A guidewire will be placed through the needle into the vein. You may feel the wire being positioned. A vascular sheath (tube) will be placed over the guidewire and positioned at the junction of the superficial and deep venous system using ultrasound guidance. The laser fiber will be placed through the sheath to the correct position using ultrasound guidance.
   
   
7. Tumescent anesthetic using a special mechanical pump, will be applied around the vein, to increase the effectiveness of the laser, and minimize your discomfort. The laser is then activated and pulled back along the vein, utilizing the heat energy to close the incompetent saphenous vein. The laser is only on for 2-5 minutes. We utilize laser safety protocols for the safety of patients and staff. After the laser fiber is removed, a small antibiotic dressing is placed on the skin, to prevent infection and promote healing.
   
   
8. Immediately after the treatment, your support stockings and bandage, will be applied on your leg(s), to compress the treated area. We suggest you walk for five minutes after the procedure, before leaving the clinic to promote venous circulation .

Endovenous laser ablation (EVLA) is also known as endovenous laser treatment (EVLT). The two terms are interchangeable and refer to the same treatment.

CALL 416-929-0834 or 1-866-412-1151
For more information or a consultation!