Endovenous Laser Ablation

Varicose veins can affect more than the way your legs look. For many people, they are associated with aching, heaviness, swelling, and other symptoms that can interfere with daily life. Endovenous Laser Ablation (EVLA) is a minimally invasive procedure used to treat the underlying venous insufficiency that causes these symptoms.

What Is Endovenous Laser Ablation?

Endovenous Laser Ablation is a procedure that uses laser energy delivered through a thin fibre inserted into the affected vein to close it from the inside. Once the vein is closed, blood is redirected through healthier veins, and the treated vein is gradually absorbed by the body over time.

A comprehensive assessment is performed before treatment to determine the most appropriate plan. Depending on your diagnosis, additional treatment such as Ultrasound-Guided Foam Sclerotherapy may form part of the overall treatment plan.

How Does Endovenous Laser Ablation Work?

Venous insufficiency occurs when the one-way valves within the veins stop working properly, allowing blood to flow backwards and pool in the lower legs. This increased pressure causes veins to become enlarged and twisted, leading to the visible and symptomatic changes associated with varicose veins.

During the procedure, a fine laser fibre is guided into the affected vein under ultrasound guidance. Laser energy is then delivered along the length of the vein, causing it to close. The procedure is typically performed under local anaesthetic and does not require a general anaesthetic or hospitalisation.

When Might This Treatment Be Recommended?

Endovenous Laser Ablation may be recommended for patients experiencing:

Aching or heavy legs
Swelling of the legs or ankles
Visible varicose veins
Skin changes linked to venous disease

Patients with more advanced conditions may also require treatment for venous ulcers, which can develop as a result of longstanding venous insufficiency.

What Are The Benefits Of Endovenous Laser Ablation?

Compared to traditional surgical approaches, Endovenous Laser Ablation offers several advantages:

Performed under local anaesthetic
No large surgical incisions
Usually completed in approximately 30 to 40 minutes
Performed on an outpatient basis
Most patients return to normal activities soon afterwards

Treatment recommendations are always based on your diagnosis and ultrasound findings.

What Can You Expect During Your Consultation?

Your consultation will begin with a detailed discussion of your symptoms and medical history. A physical examination will be performed, followed by a duplex Doppler ultrasound assessment carried out by a registered sonographer. The findings will be used to determine the most appropriate treatment plan for your individual condition. All treatment options will be explained, and you will have the opportunity to ask questions before any decision is made.

Schedule An Assessment

If you are concerned about varicose veins or related symptoms, we encourage you to arrange an assessment. Book a Consultation with Vein Solutions South Africa to take the first step towards understanding your condition.