Endovenous Laser Ablation
Endovenous laser ablation is the most effective treatment for varicose veins.
Endovenous laser ablation (EVLA) has the lowest recurrence rate compared with vein surgery or ultrasound guided sclerotherapy (UGS).
Endovenous laser treatment uses a laser fibre which is inserted into the vein and passed up to the groin where the abnormal valve is. The varicose vein is surrounded by local anaesthetic. The laser is turned on and slowly withdrawn to permanently seal the varicose vein.
At Palm Clinic we use the Cooltouch CTEV laser for varicose veins. This is an ND:Yag 1320nm laser which targets water in the vein wall. Local anaesthetic is placed around the varicose vein which collapses the vein and the laser heats the vein wall forming a permanent seal. Initial studies have shown 100% closure of the treated veins at 6 months and 5 year studies indicate greater efficacy with endovenous laser treatment than with surgery or UGS.
After the main trunk of the varicose vein has been treated with the laser you are able to walk freely and return to work. A follow up appointment a day or two later may involve some Ultrasound Guided Sclerotherapy to tidy up residual branch veins not sealed by the laser.
Endovenous laser ablation is especially useful for large varicose veins but there is a requirement that the vein is straight in the thigh or upper calf component – this can only be ascertained with a Duplex ultrasound examination which is performed before treatment. For those patients who are unsuitable for endovenous laser treatment we use Ultrasound Guided Sclerotherapy. Click here for a full description of Ultrasound Guided Sclerotherapy; this proven technique was pioneered in New Zealand by Dr John Barrett at Palm Clinic.
Dr John Barrett is Chairman and a Foundation Fellow of the Australasian College of Phlebology and with four other phlebologists runs the busiest Vein Clinic in New Zealand. We have performed well over 2000 EVLA cases since 2004 and over ten thousand legs have been treated non surgically with either EVLA or UGS.
Varicose vein treatment with Endovenous Laser Ablation is covered by medical insurance when medical necessity criteria apply. Palm Clinic is an affiliated provider to Southern Cross Healthcare and is also covered by Tower, Unimed and most other insurers.
Frequently Asked Questions
What is Endovenous Laser Ablation?
What are the benefits?
Can I use my medical insurance?
Is Endovenous Laser the best treatment for Varicose Veins?
"I am sure most people approach vein treatment with some trepidation - I certainly did!. Well my experience with Palm Clinic means that you needn't worry. Right from the first visit I was impressed with the complete service at Palm Clinic, and working in the health industry I have high expectations. You can't miss the investment in the latest equipment and hi-tech facilities but it is the people that stand out. Clearly the team are complete professionals however it is their personable, engaging nature which made trips to Palm Clinic a pleasure which was unexpected. You can tell the team get on well and enjoy their job, and the interaction with their clients - to me a sign of a well oiled team. I personally appreciated their very attentive approach - there was a lot of follow up to make sure that my treatment was completed as expected. I felt in safe hands and recommend them without hesitation. Thanks team - at every level the service was superb."