01. Local Anesthesia & Access

Tumescent local anesthesia is given around the vein. A small puncture is made and a thin catheter is inserted into the vein under ultrasound guidance.
Endovenous Laser Ablation (EVLA) is a minimally invasive treatment for varicose veins. A laser fiber is inserted into the diseased vein through a tiny puncture and laser energy is used to close the vein. Blood is rerouted to healthy veins, improving symptoms and appearance.

Tumescent local anesthesia is given around the vein. A small puncture is made and a thin catheter is inserted into the vein under ultrasound guidance.

The laser fiber is advanced through the catheter to the required position below the saphenofemoral/saphenopopliteal junction.

Tumescent solution is injected around the vein. This compresses the vein, provides anesthesia and protects surrounding tissues.

Laser energy is delivered while the fiber is gradually withdrawn. The vein wall collapses and the vein is sealed shut.

The fiber and catheter are removed and pressure is applied to the puncture site.
Minimally invasive (no cuts or stitches)