Endovenous Laser Treatment (ELT)
The Endovenous Laser Procedure is a minimally invasive FDA approved treatment option for varicose veins. It is performed in the office using local anesthesia and usually takes less than an hour.
AUsing ultrasound as a guide, a small catheter is inserted into the problem vein via a puncture near the knee. Using the catheter, a fiber is threaded to the upper end of the vein. As the fiber is withdrawn, it emits laser energy to close off the diseased vein. Compression stockings are worn for 5 days after the laser treatment.
There is very little discomfort with endovenous laser treatments, immediate relief of symptoms and patients resume normal activities the next day. After the vein is closed, healthy veins around the diseased vein take over and reestablish a healthier normal blood flow. Excellent long-term results, with only one treatment, can make the endovenous laser treatment an attractive choice for the treatment of your varicose veins.
Frequently Asked ELT Questions
Is the ELT Closure procedure painful?
Patients report feeling little, if any, pain during and after the procedure. Any discomfort is easily treated with over-the-counter pain relievers, such as ibuprofen.
How quickly can I resume normal activity?
Patients report minimal to no scarring, bruising or swelling following the laser procedure since there are no incisions or stitches.
How soon will my symptoms improve?
Many patients notice an immediate relief of symptoms such as pain, leg heaviness and fatigue. The full benefit of the procedure may take 1-2 weeks.
Is there any scarring, bruising or swelling after the procedure?
Patients report minimal to no scarring, bruising or swelling following the laser procedure.
How is the ELT procedure different from vein stripping?
During vein stripping, incisions are made in the groin and calf, and a stripper tool is threaded through the diseased vein, to pull the vein out of the leg. With the laser procedure, only one small puncture is made at the insertion site and the vein is then closed and left in place. This minimally invasive approach eliminates pain and bruising associated with vein stripping surgery.
What if I need the vein for bypass surgery in the future?
TThe ELT procedure treats diseased veins only, which are not appropriate for bypass surgery. Physicians can use other healthy vessels should bypass surgery be necessary.
Is the ELT procedure covered by insurance?
Medicare and most major health insurers cover the treatment of varicose veins. Our billing specialist can discuss your coverage further at the time of consultation.