FREQUENTLY ASKED QUESTIONS
How does the EVLT work?
The laser energy damages the vein walls, shrinking them and closing the faulty vein so that the blood cannot flow through it. This eliminates vein bulging at its source.
Is loss of this vein a problem?
No. After treatment, the blood in the faulty veins will be diverted to the many normal veins in the leg.
What are the complications of this procedure?
The only minimal complications experienced with EVLT have been a small number of cases of numbness that passes quickly.
Am I at risk from the laser?
No. Just as a precaution against accidental firing of laser energy outside the body, you will be given a pair of special glasses to protect your eyes.
How successful is EVLT?
97% of first-time EVLT treatments are successful!
“EVLT is a tremendously safe and effective procedure.”
Robert Min, M.D.
Founder & Director of Cornell Vascular
Assistant Professor of Vascular
Weill Medical College of Cornell University
Ambulatory Phlebectomy (Microphlebectomy)
Microphlebectomy is performed when there are large visibly bulging varicose veins that persist after endovenous laser ablation. These veins are typically too tortuous for an endovenous catheter to pass through them and so they are treated 2-4 weeks after the laser ablation. The vein is anesthetized locally, and then a small needle puncture over the vein is made; at which time a "knitting hook" type instrument grasps the vein through the needle puncture and the bulging portion of the vein is pulled through the puncture. The patient only feels pressure. No scalpel is used and no stitches are needed. A bandage is placed on the leg which is removed two days later and most of the visible veins will have disappeared. A compression stocking is worn for one week. There is usually no visible scar.
Endovenous Chemical Ablation
ECA: Endovenous Chemical Ablation is a highly specialized technique pioneered in Europe and now used worldwide in the treatment of varicose vein disease. The procedure involves first doing an ultrasound map of the entire diseased venous network so that sources hidden in the skin are located. Then, under direct ultrasound visualization, a foamed sclerosant is injected into the diseased veins. This causes the diseased veins to close down immediately, and over time, the veins narrow to a fibrous thread which is invisible since it is beneath the skin.
|EVLT and Endovenous Chemical Ablation:
- allow treatment of even the largest varicose veins without surgery.
- permit treatment of varicose veins that have recurred after prior surgery.
- require no general or spinal anesthetic or narcotic pain medications.
- leave no scar.
- require minimal down time. Patients resume their normal activities quickly.
- are performed entirely as an outpatient treatment in Dr. Douglass' offic
The procedure is exceptionally safe when performed in the hands of physicians trained and thoroughly experienced with the technique. Dr. Douglass is one of the most experienced physicians in the Knoxville area to perform these types of treatment.