About the procedure

The EVLT procedure involves inserting a thin laser fiber into the vein through a tiny entry point in the leg. This entry point is usually near the knee, but depends on the location of the varicose vein. Generally local anesthetic is applied to ensure patient comfort.

Prior to the start of the procedure, our office uses ultrasound to map out the vein. The EVLT procedure uses the latest generation of EVLT® catheter, which has been cleared by the Food and Drug Administration (FDA) for use in the United States, to insert a laser fiber directly inside the faulty vein under local anesthesia.

The treatment works by delivering a targeted dose of laser energy directly into the vein wall, causing it to collapse. This is a process known as ablation. After treatment, the body diverts blood flow to nearby functional veins, improving circulation, and significantly reducing the symptoms of varicose veins. Cosmetic improvement of the varicose veins is often seen. Other procedures like ambulatory phlebectomy may be required to obtain optimal results.

View PhotosView Videos

How long does the procedure take?

The procedure generally takes less than one hour. Normal everyday low-impact activity is encouraged soon after treatment.

What are the side effects and risks of the EVLT procedure?

Mild bruising and tenderness following the procedure usually disappears after a few weeks. There is significant risk with leaving varicose veins untreated. Complications in relation to EVLT include vessel perforation, thrombosis, pulmonary embolism, phlebitis, hematoma, infection, skin pigmentation alteration, neovascularization, paresthesia due to thermal damage of adjacent sensory nerves, anesthetic tumescence, non-target irradiation, vasospasm, hemorrhage, necrosis, skin burns and pain.

About the Laser

The new EVLT laser from AngioDynamics offers better patient results than other technology.

Better Results

The laser specifically targets water with laser energy. Since the vein is mostly composed of water, the laser can efficiently heat the vein with little chance of collateral heating, resulting in an optimal vein ablation.


The EVLT procedure is a quick and effective method for treating varicose veins.

  • Treatments are typically less than one hour
  • EVLT treatments are performed in our office
  • Up to 98% success rate
  • Immediate relief of symptoms
  • Patients can return to normal activities soon after treatment
  • No general anesthesia is required
  • FDA approved
  • Minimal scarring, unlike surgical vein stripping
  • Typically covered by insurance