Endovenous Laser Treatment (EVLT) for Varicose Veins

Endovenous Laser Treatment (EVLT) for Varicose Veins

Patients with saphenous vein incompetence usually have two options: conservative management or elimination of these incompetent pathways using endovenous techniques or, in some cases, surgery. The conservative management focuses on improving the symptoms, but not cures the reason.  Laser treatment for varicose veins is modern a method of treating venous insufficiency. This approach involves using the laser beam inside the vessel, in order to shrink and close varicose veins, with no need for open surgery. Laser medical treatment has proven their safety through many years; it is the effective and non-invasive method with low complications rate.

General Information About the EVLT Treatment

To perform EVLT veins treatment, your doctor makes a small incision in the skin and inserts a thin tube (fibre) into the damaged vein. The procedure is performed under local anaesthetic and is completely painless. The laser beam is emitted through this fibre precisely to the targeted issues. The thermal ablation causes the vein to close, and the blood flow is automatically routed to other veins.


In endovenous laser treatment, a thin fibre is inserted into the damaged vein through a tiny entry point in the skin. A laser light is emitted through the fibre, as it is pulled back through the vein, it delivers just the right amount of energy. The targeted tissue reacts with the light energy, causing the vein to close and seal shut. The veins that are closed are superficial veins that handle less than five percent of the body’s blood flow. The blood is automatically routed to other, healthy veins. Patients usually are encouraged to start walking on the same day. After the procedure, the compression sock is administered. Returning to work is possible usually after 7 days.

Side effects of EVLT laser veins treatment

In some cases, Patients may experience slight swelling, soreness and little bruises, but all of those can be treated with regular painkillers medicines (without acetylsalicylic acid)

Advantages of EVLT treatment abroad:


Advantages of EVLT treatment abroad:

  • The whole procedure takes about an hour
  • The overall success rate is around 98%
  •  No general anaesthesia or hospitalisation is needed
  • No or tiny scars
  • No or very little pain
  • Immediate effects and relief
  • Quick return to normal daily activities
  • Back to work in about 5 days
  • Minimal invasive method
Medical benefits of undergoing EVLT veins treatment:
  • Minimising the risk of developing/relapse of venous thrombosis and pulmonary embolism
  • Minimising the risk of developing/relapse of thrombophlebitis
  • Minimising the risk of developing/relapse of venous ulcer
  • Reducing symptoms such as oedema, muscle cramps, heaviness and leg tiredness
  • Improvement of the general leg appearance
Symptoms and indications for the EVLT varicose veins procedure:
  • The feeling of “heavy” legs
  • Night calf muscles cramps
  • Swelling of the feet, ankles or calves, increasing after a long time in standing position, sitting, also in high temperatures,
  • Pain through the vein,
  • Legs tingling and numbness
  • Restless legs syndrome
  • Itching of the skin,
  • Discoloration of the skin, especially around the ankles
  • Visible, convex, winding varicose veins
Preparation for the EVLT procedure:


  • Laboratory tests:
  • Morphology of blood platelets
  • HBs antigen, anti-HCV
  • Valid jaundice vaccination
  • You should not eat anything for 6 hours before the procedure
  • You should drink only still water (4 hours before the procedure)
  • You should discontinue taking any hormonal drugs (3 weeks before the procedure)
  • You should shave the operated leg

About the procedure:

The whole process is painless, carried under local anesthetization (sedation anaesthesia), which provides highest safety and comfort as well as allows the Patient to leave the hospital 2 hours after the procedure.

The laser fibre is inserted into the veins through the small puncture on the knee, which allows avoiding any cuts and scars. After the procedure, the special anticlotting sock is dressed.