The Vein Institute of Toronto™ Method
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.
- Results of the personal and private consultation (between physician and patient) determine the equipment and ideal protocol for you.
- Upon arrival for your EVLT appointment, local anesthetic spray and cream are applied to the area to be treated.
- Dr. Kundu uses ultrasound to map the area to be treated, to identify possible changes since your consultation, and to confirm the optimal protocol. This preparation and confirmation allows us to administer the procedure in the shortest possible time with the least discomfort, and maximal chance of success.
- A micro-puncture is made (using Dr. Kundu’s technique). A laser probe inside a catheter is inserted, that best matches your condition.
- The laser probe is placed in the best position for optimum results (complete and accurate treatment), using ultrasound for guidance.
- Tumescent (local) anesthetic is applied around the vein being treated. In addition to minimizing discomfort, this increases the effectiveness of the laser action.
- After the procedure, we will assist you with the application of your medical compression stockings.
- Dr. Kundu reviews post-procedure instructions with you, and you will commence the post-procedure protocol immediately.
- You will resume most normal activity (see post-procedure protocol for details).
Endovenous laser ablation (EVLA) is also known as endovenous laser treatment (EVLT). The two terms are interchangeable and refer to the same treatment.