Endovenous Laser Treatment

EndoLaser Vein System is an advanced technique that began in 2001. The procedure involves using a laser to heat the diseased vessel from inside the vein, causing the vein to shrink or collapse. Dr. Hyde was the first in the Bay Area to begin using the cutting-edge fourth-generation Sciton laser to perform endovenous laser ablation on his patients. This laser provides a gentler, non-surgical alternative to traditional surgical vein stripping.

In Dr. Hyde’s experienced hands, the procedure takes approximately 30 minutes. The physician will administer a local anesthetic to the vein and surrounding area to ensure minimal discomfort during the treatment. The procedure is performed through a small nick in the skin to prevent scarring. Using ultrasound as a guide, a tiny laser fiber is inserted into the targeted vein through the nick in the skin. Instead of surgically removing the vein, laser energy is delivered through the tiny laser fiber, effectively using heat to seal the vein.

Endovenous laser ablation is indicated for patients with reverse blood flow (reflux) originating high in the leg at the saphenofemoral junction. An ultrasound scan is the most accurate way to make this diagnosis. Patients with this reflux often have large varicose veins.

This procedure has a success rate greater than 98% for the treatment of large or painful varicose veins.

If you suffer from large varicose veins, you may be a candidate for endovenous laser ablation. Your physician can perform the proper tests to decide if you are indeed a candidate.

Endovenous laser ablation is performed under a local anesthetic and requires little to no downtime. Patients are encouraged to walk following the procedure and may return to work and other normal activities on the same day. Regular exercise should be resumed after the procedure to help assist in circulation.

Compression bandages or stockings can also aid in improving vascular flow. Strenuous activities and standing for long periods of time should be avoided during the first week after the treatment. Post-procedural pain is often negligible but can be treated with pain medication if necessary.

Risks for this procedure are minimal when you are under the care of an experienced vein specialist. Complications are rare but can include mild thigh numbness, a pulling sensation, redness or tenderness, infection at the incision site, and bruising. These issues will usually resolve on their own without medical attention.

Deep venous thrombosis is an extremely rare side effect that can be avoided using the proper compression garments to ensure proper circulation.