Answers

Replied on 12/9/2009

By: Laser Vein Center  |  Thomas Wright, M.D., F.A.C.P., R.V.T.
O'Fallon, MO

Yes ELVeS (Endo Laser Vein System) can be used to treat varicose veinson the lower and upper leg. Like an endovenous laser treatment [EVLT] and ELVeS can be used on the lower leg. Greater caution is required with both of these procedures below the knee because of the proximity of the saphenous nerve with the saphenous vein, the usual target of the treatment. There is some hope because the ELVeS uses less energy during it treatment it may have a lower risk of complications, but this is not proven.

Replied on 11/30/2009

By: Heart and Vein Center  |  Rodolfo D. Farhy, MD
Royal Oak, MI

The EVLS (aka EVLT or EVLA) it is actually use for varicose veins in the legs. Although there are some other potential applications, the most common use of this technique is treat varicose veins in the legs.

Replied on 11/29/2009

By: Vein Specialty Medical Clinic, Inc.  |  Khalil Fattahi M.D.
Board Certified, American Board of Phlebology
Campbell, CA

All endovenous laser ablation treatments are FDA-approved for greater saphenous varicosity. Commonly the laser ablation is done for the thigh level of greater saphenous vein, while remaining varicose veins at calf are treated with hook-phlebectomy or sclerotherapy (most common). Endovenous laser ablation methods, including EVLT and ELVeS are usually not done for calf level of greater varicose vein since the saphenous nerve is attached to this vein at calf level, and treating this level of greater saphenous vein carries the high risk of permanent damage to this sensory nerve, resulting in permanent
numbness and tingling of inner side of calf.

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