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.
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- ENDOVENOUS LASER ABLATION AND SCLEROTHERAPY – VARICOSE VEINS
- HEPATOBILIARY INTERVENTION: PTBD AND BILIARY STENTING: KLATSKIN TUMOR
- NEUROINTERVENTION: CAROTID STENTING
- PERIPHERAL INTERVENTION: PERCUTANEOUS USG GUIDED THROMBIN INJECTION FOR PSEUDOANEURYSM
- GYNAECOLOGY INTERVENTION: UTERINE ARTERY EMBOLISATION
- PRE-OPERATIVE EMBOLISATION IN PHAEOCHROMOCYTOMA
- HEPATOBILIARY INTERVENTION: IVC BALLOON DILATATION FOR BCS
- PERIPHERAL INTERVENTION: PERCUTANEOUS SCLEROTHERAPY FOR SLOW FLOW AVM
- HEPATOBILIARY INTERVENTION: CBD STENTING FOR PERIAMPULLARY TUMOR
Indications
- Symptomatic varicose veins (ache, pain, heaviness, throbbing)
- Swelling, fatigue or cramps in the legs
- Recurrent varicose veins after surgery
- Skin changes due to venous disease (darkening, eczema)
- Superficial venous reflux documented on Duplex Ultrasound
- Patient preference for minimally invasive treatment
The Procedure: Step By Step
EVLA
Jan
02. Laser Fiber Insertion
The laser fiber is advanced through the catheter to the required position below the saphenofemoral/saphenopopliteal junction.
03. Tumescent Anesthesia
Tumescent solution is injected around the vein. This compresses the vein, provides anesthesia and protects surrounding tissues.
04. Laser Ablation
Laser energy is delivered while the fiber is gradually withdrawn. The vein wall collapses and the vein is sealed shut.
05. Catheter Removal
The fiber and catheter are removed and pressure is applied to the puncture site.
Contraindications
- Pregnancy
- Active deep vein thrombosis (DVT)
- Severe peripheral arterial disease
- Active infection in the leg
- Known hypersensitivity to local anesthetics
- Inability to walk or ambulate
- Inability to walk or ambulate
- Severe uncontrolled medical illness
Important Advice
- Wear compression stockings as advised and follow up with your doctor for the best results.
Note
- This information is for educational purposes only. Consult your vascular specialist to know if EVLA is right for you.
