Protocol: Endovenous Laser Ablation (EVLA)
Because of the high volume of endovenous laser treatments we perform (among the highest in North America), and because we train other physicians in the procedure, we are able and qualified to develop our own method. To do so, we used our own research, feedback from our patients, and of course our vast experience performing the procedure.
- At The Vein Institute of Toronto™ you will undergo a comprehensive venous consultation including a focussed venous history and physical exam, followed by a venous duplex ultrasound to assess for superficial venous reflux, rule out deep venous thrombosis and map out your superficial venous system. This allows us to develop a personalized treatment plan tailored to your individual needs.
- If you decide to proceed with the procedure, please follow the pre-procedure instructions (page 4) and medication protocol comprised of Arnica™ and Toradol™ to minimize discomfort and optimize the results of the procedure. An EVLA kit including Arnica™ tablets/gel, gel pack and prescription may be obtained from The Vein Institute of Toronto™.
- The EVLA procedure is performed according to our own proven protocol, which is taught to physicians around the world (page 5). EVLA is a minimally invasive ultrasound guided procedure involving endovenous laser ablation of an incompetent saphenous vein. At The Vein Institute of Toronto™ utilizing our EVLA protocol and unique micropuncture technique to perform the procedure has produced a 98% technical success rate and 97% clinical success rate in over 1500 procedures to date.
- After the procedure a physician assistant will assist you to put on the required compression stockings. Please wear the Class II (30-40 mm Hg ) compression stockings and Comprilan bandage continuously for the first 72 hours, and then just the compression stockings from first thing in the morning to before bed time at night for another 10 days. Please follow the post-procedure instructions (page 6) closely for optimal results.
- You will be seen in follow-up after the procedure at six and twelve week appointments. At each follow-up a venous ultrasound will be performed to confirm the treated saphenous vein is closed. Foam sclerotherapy injections (which are included as part of your procedure) will be performed for any residual branch varicose veins (page 7) at your discretion. Please bring your stockings for all follow-up appointments. The post EVLA follow-ups are included as part of the procedure.
- At your 6 and 12 week follow-up appointments, you will be given the option of entering into our Leg Wellness Program to help prevent future leg veins.
Endovenous laser ablation (EVLA) is also known as endovenous laser treatment (EVLT). The two terms are interchangeable and refer to the same treatment.
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