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Does endovenous laser ablation remove veins?

Are the problem veins removed after ELA or are they just left there? Is that bad for the body to have dead tissue laying around?

The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice, diagnosis or treatment by a qualified health care provider.

Answers


Replied on 10/8/2010

By: Vanish Vein and Laser Center  |  Dr. John Landi, FACS, RPVI, RPhS
Medical Director, Diplomate Am. Board of Phlebology

Naples, FL


ELA heats the leaking saphenous or accessory veins causing them to shrink, clot and ultimately be reabsorbed by the body. If there are associated varicose veins, these may or may not resolve. and may need to be removed by microphlebectomies. There are no ill effects from leaving the lasered vein in the body to reabsorb.


Replied on 11/23/2009

By: VeinSolutions - Austin  |  Emery W. Dilling, M.D.
Jeffrey M. Apple, M.D., F.A.C.S.

Austin, TX


ELA or catheter laser ablation of the saphenous vein does not physically remove the saphenous vein. It does cause the vein to shrink, clot, and eventually be reabsorbed by the body. It does remove or alleviate many of the side branches that are coming off of the vein, though the veins are not actually removed. Remember that a lot of the large varicose veins coming off of the saphenous vein are depressurized once the saphenous vein is sealed. It is not harmful or dangerous to have the varicose vein left in the leg after treatment.


Replied on 10/29/2009

By: Vein Specialists at Royal Palm Square  |  Joseph G. Magnant, M.D., F.A.C.S.
Fort Myers, FL


The varicose veins coming of the leaky vein that we seal often collapse and
are barely noticeable as soon as one month post-op. The vein that is sealed
off gradually is reabsorbed by the body and poses no threat or harm to you
to leave this in place. Patients will often feel as though there is a band
or cord under the skin or fat, but this is more of a nuisance than something
to be concerned about.



Replied on 10/22/2009

By: Laser Vein Center  |  Thomas Wright M.D. F.A.C.P. RVT
O'Fallon, MO


No , Endovenous Laser Ablation does not remove veins. The cells of the veins or tissue are replaced with healing tissue. Think about a scratch on your skin. A scab develops then as the healing process continues the scab cells are replaced with healthy new tissue over the following weeks. After a couple of months it is hard to even tell where the scratch was. Usually, after a year, there is no detecting where the scratch was. The same healing process goes on with your veins. So after a year it is usually impossible to tell where the treated veins were.


Replied on 10/22/2009

By: Vein Centers for Excellence of Kansas City  |  Craig I. Schwartz, D.O., FACOS, FICS
Leawood, KS


We don't like to use the term "dead" in describing medical procedures, and this would not be correct anyway. EVLT uses laser energy to seal closed the abnormal problem vein, most commonly the saphenous vein. Once this vein is sealed shut, the body begins to contract it, fibrose it, and essentially scar it down. Over a period of 6-12 months, the vein will shrivel up and eventually disappear. This is a normal process, and is not bad for the body.
This procedure treats the underlying cause of varicose veins, but does not specifically treat the varicose veins themselves, if this is what you meant by "problem veins". They may decompress and "disappear" just by doing the EVLT, but often they have to be treated as well, which can be done either by injection sclerotherapy, or they can be removed at the same time as the EVLT, using a special procedure called a micro-incisional resection, or phlebectomy.



Replied on 10/22/2009

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


The veins are not removed by EVLT. They just close. They become a sort of scar, but is not "dead" tissue. It is not harmful to the body.


Replied on 10/22/2009

By: Miller Vein  |  Jeffrey H. Miller, M.D.
Novi, MI


The EVLA treats the underlying cause of the varicose veins which is typically a "leaking" saphenous vein. This leaking vein connects to and causes the varicose veins. The varicose veins are usually treated my removing them (microphlebectomy) or injecting them. Sometimes, treating only the underlying cause and leaving the varicose veins will cause them to shrink, but that is not a problem.


Replied on 10/22/2009

By: Dr. Edward G. Mackay, Vein & Circulation Specialist  |  Edward G. Mackay, M.D.
St. Petersburg, FL


No the laser doesn't remove veins just closes veins with cauterization.
The body absorbs the vein and with several hundred thousand of these
performed every year and very few complications reported it appears to
be an extremely safe procedure.



Replied on 10/21/2009

By: The Vein Treatment Center of NJ  |  Dean H. Wasserman, MD, FACS, RVT, FACPh
Paramus, NJ


EndoVenous vein ablation only removes (eliminates) the particular
vein, (usually the saphenous) which comes directly in contact with the
catheter procedure itself.
There exists a false impression that other connected varicose
branches and tributaries are also eliminated. While it is true that
such veins may become less symptomatic and less visual due to the
resulting reduced pressure, these varicose structures remain and due to
the general progression of the venous insufficiency, many of these will
regain their original prominence.
Also, the body processes "dead tissue" continuously, such as
internal scars following both disease processes as well as following
surgery, and is not of concern when relating to destroyed leg veins.


Replied on 10/21/2009

By: Innovative Vein  |  Paul Cheatum, M.D.
Wichita, KS


The veins treated by laser are left in place. They harden, and then the body simply absorbs them just like any other dead tissue. It is not dangerous or unhealthy because our bodies are continually turning over tissue. Dead tissue is always being absorbed in our bodies.


Replied on 10/21/2009

By: Mountain View Dermatology Cosmetic Surgery and Vein Center in Boulder, CO  |  Richard Levine, M.D.
Boulder, CO


The body absorbs the treated vein after the EVLA seals it off.



Replied on 10/21/2009

By: Makris MD Interventional Radiology Center  |  Angelo N. Makris, M.D.
Oak Brook, IL


Commonly an ambulatory microphlebectomy is performed after an ablation procedure to remove the varicose veins. However, this is not always necessary. The varicose veins get smaller over time after an ablation procedure. They aren't per se dying, just getting smaller.


Replied on 10/21/2009

By: Vein Specialists Institute  |  Kenneth H. Jesser, M.D.
Palm Desert, CA


The target vein treated with ELA is left in the leg, and the body's natural healing processes absorb the vein over 6 months - one year. The vein basically shrinks into scar tissue, and does not actually remain in its damaged state. There does not appear to be deleterious effects on the body from the process.



Replied on 10/21/2009

By: Bella MD Laser Vein and Aesthetic Center  |  David A. Engleman MD, FACC
Dallas, TX


Endovenous thermal ablation with either laser or radio frequency heats the vein causing it to clot off and become scar tissue. There is no harm in "leaving" this tissue behind. This is the safest and best way to fix the problem.



Replied on 10/21/2009

By: General Vascular Surgery Group  |  Michael D. Ingegno, M.D.
San Leandro, CA


Endovenous laser seals veins, and there is no problem leaving the
sealed vein in place.


Replied on 10/21/2009

By: Vein Center Houston  |  Mario O. Kapusta, M.D., RVS, RPVI, ABPh
Houston, TX


ELAS does not remove veins. Laser energy closes the vein and the vein
eventually shrinks and becomes a scar. The closed vein is like any other
injury to the body: a inflammatory reaction surrounds the vein and over time
it becomes a scar as stated above.




Replied on 10/21/2009

By: The Boca Vein Center in Boca Raton, FL  |  Dr. Richard Kimmel
Boca Raton, FL


No, it is not a problem.
The vein is closed from the inside, and over time, shrinks to a tiny string
size. this does not cause any significant long term problems.


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Is it safe to have endovenous laser ablation and foam sclerotherapy on the same leg on the same day?

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Is thera any chance of getting traveling blood clots after this procedure?? (8 answers)
Is there any chance of getting traveling blood clots after this procedure??

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Confused, not noticing improvement (8 answers)
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Is it possible to only do a partial ablation of the greater saphenous vein?

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what is considered 'normal' bruising 5 days post EVLT (8 answers)
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Will the general anesthesia used in laser vein surgery hurt my fetus? (7 answers)
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EVT after varicose vein surgery (7 answers)
I had varicose vein surgery (ligation and stripping) 10 years ago. My problems came back and I've had many rounds of sclerotherapy. Now my doctor recommends EVT. Is that OK?

After 2 weeks post EVLT, the doctor said I needed to redo the procedure? (7 answers)
I had EVLT preformed 3 weeks ago. When I went for the 2 week follow-up ultrasound it showed that the vein was still open and doctor said he needed to redo the procedure. Please advise - I thought this was a one-time procedure.

Sciatic issues? (7 answers)
Someone posted about buttock/leg/foot numbness after EVLT. In someone with venous hypertension is it possible that removing superf. veins can increase vein pressure in the deep veins, causing pressure against the sciatic nerve and numbness?

Is numbness in both feet caused by ELT and how long will this last? (7 answers)
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Endovenous Ablation and subsequent pregnancies. (7 answers)
I developed varicose veins during my 2nd pregnancy and have consulted with a physician regarding endovenous laser ablation. We would like to try for another baby after the procedure. How long should I wait to get pregnant after the procedure?

Is it possible the procedure would fail because the vein is thin or curved? (7 answers)
Could it be possible to not get through the vein because of it being thin or curved?

Proceedure affected my large saphenus vein (7 answers)
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Can you please detail some of the restrictions after EVLT?

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I’ve heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?

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I had this surgery a year ago, then again 4 days ago because the first one was not successful. I would like to get pregnant in the next could of months, but an worried about clots. Should I be, or are there other risks?

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Can ELA or other vein treatments improve overall circulation, perhaps improving PCS symptoms? I have bad varicose veins in the legs and hemorrhoids and was hoping that treating them would improve my PCS symptoms as well.

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What causes the "garlic taste" in your mouth during the endovenous laser ablation? What causes the "water dripping sensation" when the doctor is doing the tumescence?

Sharp stabbing pains in my leg! (6 answers)
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Sclerotherapy post ELA (6 answers)
I had endovenous laser ablation of saphenous vein, and now I'm told I need 3 sclerotherapy sessions. is this so? only one is covered by my insurance. I was told that only having 1 could be harmfull, is this true?

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Just wondering about this, since the greater and lesser saphenous veins seem to receive the superficial foot veins on top of the foot, and I have enlarged ones.Thank you!

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I had an ablation done on my right gr. saph. vein 1 month ago. Symptoms before were swelling with the gr.saph. vein and others. After having the ablation, I still have some swelling, pain, and also redness around the ankle upon standing I've never had before.

Ankle swelling and numbness (6 answers)
I had endovenous laser of my lower right leg on 4/28 and still have significant pain and swelling in my ankle. I also have the numbness, but I understand that the nerve is involved and hopefully it will heal.

Serious problems associated with EVLA (6 answers)
I recently have EVLA done 3 times and have had serious side effects and want to know is this normal? I had a hematoma on one leg and excessive swelling on the other leg and extreme pain in both and really need your advice?

How long before you see the results with ELA? (6 answers)
Had the procedure Friday. Removed the stocking Monday evening. I still see bumps in my leg. Will that get better?

Could I have endovenous laser ablation? (6 answers)
I recently had massive blood clots in the left leg, becasue of inactivity in the other leg, it was in cast. My body has now absorbed the blood clots and i am still on comadine/warfin until December 2011 this year.

Post-Thrombotic Syndrome (6 answers)
Does EVLT for superficial phlebitis also help with post-thrombotic syndrome in a deep vein? Is ultrasound of deep and superficial systems routinely performed before deciding on EVLT? Thanks.

Post Surgery (6 answers)
Is it OK to take Levitra after having this surgery?

I had a large vein in my leg ablated 8 months ago and it still is ropey and painful. Is this normal? (5 answers)
It hurts when I sit or stand and is tender to touch. I had a blood clot in the vein when the procedure was done.

Side effects of drinking after EVLA? (5 answers)
What are the side effects of drinking alcohol after my evla?

Outcomes with Microphlebectomy/EVLT? (5 answers)
I have dorsal foot varicosities, as well as varicose GSV and LSV's receiving these veins. Has anyone done microphlebectomy of the foot veins (with/out EVLT) and had more good than bad experiences with this procedure here? Thank you!

Different causes for bulging veins? (5 answers)
I had minor vein reflux. My veins stand out at the end of the day in several spots in front of thighs (look like cellulite but are not) After 4 EVLTs two months ago on both legs, the swelling is still there. What can cause them to swell other than reflux?

Is an interventional radiologist ok in my case? (4 answers)
I am a 54 year old female approximately 75 pounds overweight. Had a spontaneous dvt in my left leg 16 years ago. I had knee surgery to repair a torn meniscus 1.5 yrs ago in my right leg, after that I had a small pulmonary embolism in my right lung. Now I am a "lifer" on Coumadin. Is it ok to have EVLA while on meds?

Numbness and Pain (4 answers)
I have pain in my calf ,numbness in my ankle, and also get sharp elecrical-like pains down my achilles tendon when I kick my leg. I had the procedure 3 weeks ago. I also have horrible discoloration on my calf, which resulted after post-injecions

Is this pain normal after EVLA and sclerotherapy? I have not been able to resume what I would consider normal activities. (4 answers)
Had EVLA on my right saphenous vein 3 1/2 weeks ago. After 1 week it started to feel good, then hurt for 2-3 days, then started to feel good again.I had foam sclerotherapy performed on the same leg/thigh 9 days ago and it's hurt on/off ever since.

Tendon pain after ablation. (4 answers)
I've had ELA on both legs. I have some tendon pain on going up from my feet to the insides of each leg. Is this a side effect?

What is the relationship between high blood pressure and endovenous laser ablation? (4 answers)
My blood pressure was normal until the endovenous procedure. Immediately following the procedure my blood pressure became very elevatated. My blood pressure has remained high ever since. Now taking high blood pressure medication since this procedure.

Can vena saphena magna and parva be ablated in one procedure? (4 answers)
can vena saphena magna and parva be ablated in one procedure? Or do they need to be treated separately?

A lot of pain after surgery on my calf. (3 answers)
I had my treatment done last week, and I have a lot of pain on my calf and tingling feeling from my lower calf to my ankle. Is this normal?

Karate & kickboxing after EVLA and Sclerotherapy (0 answers)
I had EVLA done on 3 veins recently. I know 1 was the small saph., the other two names I am not sure. Also had sclerotherapy on both legs. When can I go back to karate and kickboxing. We do kick pads pretty hard. Training for my black belt!

All Procedures

Ambulatory Phlebectomy (19 questions, 16 answers)
Asclera (7 questions, 1 answer)
Compression Stockings (67 questions, 551 answers)
ELVeS (Endo Laser Vein System) (14 questions, 37 answers)
Endovenous Laser Ablation (117 questions, 1136 answers)
EVLT (35 questions, 13 answers)
Foam Sclerotherapy (40 questions, 142 answers)
Intense Pulse Light Therapy (27 questions, 65 answers)
Laser Light Therapy (37 questions, 192 answers)
Microphlebectomy (18 questions, 143 answers)
Natural Varicose Vein Remedies (2 questions, 0 answers)
Pelvic Congestion Syndrome (76 questions, 124 answers)
Pharmacomechanical Thrombolysis (6 questions, 0 answers)

Radiofrequency Occlusion (17 questions, 67 answers)
Sclerotherapy (117 questions, 1036 answers)
Stenting (2 questions, 0 answers)
Transilluminated Powered Phlebectomy (2 questions, 0 answers)
Ultrasound Guided Sclerofoam (4 questions, 24 answers)
Ultrasound Guided Sclerotherapy (6 questions, 47 answers)
Varicose Vein Home Treatments (9 questions, 0 answers)
Varicose Vein Surgery (70 questions, 438 answers)
Vein Ligation and Stripping (15 questions, 2 answers)
Veinwave (27 questions, 22 answers)
Venous Reflux Exams (19 questions, 159 answers)
VNUS (32 questions, 127 answers)
Wound Care (8 questions, 0 answers)

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