Does endovenous laser ablation require multiple treatments?

Or will just one treatment do the trick? Could the varicose veins come back?

Answers from doctors (9)


Vanish Vein and Laser Center

Published on Oct 07, 2010

Endovenous ablation works by heating the treated vein to close the leaking valves. Over time the treated vein dissolves. Usually only one treatment is necessary to close a vein. If there are multiple veins refluxing, multiple laser treatments may be necessary. Varicose veins are usually removed by microphlbectomies. If varicose veins recur, then a new source for reflux should be evaluated.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

Endovenous ablation works by heating the treated vein to close the leaking valves. Over time the treated vein dissolves. Usually only one treatment is necessary to close a vein. If there are multiple veins refluxing, multiple laser treatments may be necessary. Varicose veins are usually removed by microphlbectomies. If varicose veins recur, then a new source for reflux should be evaluated.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Jan 03, 2010

For the most part endovenous laser treatment (EVLT) is done on the large veins ie: greater saphenous and lesser saphenous. Occasionally some large tributary branches can be treated with EVLT as well. For the most part a single EVLT treatment on each vein. The success rate is over 98% so very rarely does the treatment need to be repeated in the same vein[< 2%]. Most patients need more than EVLT for the proper treatment of their varicose veins. Treatments like phlebectomies and ultrasound-guided sclerotherapy are quite often used.

Answered by Laser Vein Center (View Profile)

For the most part endovenous laser treatment (EVLT) is done on the large veins ie: greater saphenous and lesser saphenous. Occasionally some large tributary branches can be treated with EVLT as well. For the most part a single EVLT treatment on each vein. The success rate is over 98% so very rarely does the treatment need to be repeated in the same vein[< 2%]. Most patients need more than EVLT for the proper treatment of their varicose veins. Treatments like phlebectomies and ultrasound-guided sclerotherapy are quite often used.

Published on Jul 11, 2012


Heart and Vein Center

Published on Dec 20, 2009

For the most part endovenous laser treatment (EVLT) is done on the large veins ie: greater saphenous and lesser saphenous. Occasionally some large tributary branches can be treated with EVLT as well. For the most part a single EVLT treatment on each vein. Very rarely needs to be repeated. Most patients need more than EVLT for the proper treatment of their varicose veins. Treatments like phlebectomies and ultrasound-guided sclerotherapy are quite often used.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/923_1408044082.jpg
Answered by Heart and Vein Center

For the most part endovenous laser treatment (EVLT) is done on the large veins ie: greater saphenous and lesser saphenous. Occasionally some large tributary branches can be treated with EVLT as well. For the most part a single EVLT treatment on each vein. Very rarely needs to be repeated. Most patients need more than EVLT for the proper treatment of their varicose veins. Treatments like phlebectomies and ultrasound-guided sclerotherapy are quite often used.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Dec 19, 2009

Usually one treatment to close the main vein but may require a follow up treatment if there are smaller veins. This follow up though is much less involved.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/772_1408044077.jpg
Answered by Bella MD Laser Vein and Aesthetic Center

Usually one treatment to close the main vein but may require a follow up treatment if there are smaller veins. This follow up though is much less involved.

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Dec 18, 2009

It is usually one treatment with less than 10% chance of recurrence.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/977_1408044083.jpg
Answered by Angelo N. Makris MD

It is usually one treatment with less than 10% chance of recurrence.

Published on Jul 11, 2012


Miller Vein

Published on Dec 18, 2009

Usually it requires only one treatment. Over 90% of veins closed by ablation stay closed. Even in the ucommon event that the vein opens back up, usually patients remain asymptomatic. There is always a risk of other veins becomming insufficient and causing new varicose veins.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/873_1500663762.jpg
Answered by Miller Vein

Usually it requires only one treatment. Over 90% of veins closed by ablation stay closed. Even in the ucommon event that the vein opens back up, usually patients remain asymptomatic. There is always a risk of other veins becomming insufficient and causing new varicose veins.

Published on Jul 11, 2012


More About Doctor Innovative Vein

Published on Dec 18, 2009

In general, one treatment closes the main problem, the upper Saphenous. However, most patients need follow treatment of some sort. The treated veins will not come back. But if there are spider veins, and/or bulging varicose veins, these will have to be closed separately or removed.

Answered by Innovative Vein (View Profile)

In general, one treatment closes the main problem, the upper Saphenous. However, most patients need follow treatment of some sort. The treated veins will not come back. But if there are spider veins, and/or bulging varicose veins, these will have to be closed separately or removed.

Published on Jul 11, 2012


Vein Specialty Medical Clinic, Inc.

Published on Dec 18, 2009

Endovenous laser ablation is done one time for the greater saphenous varicose vein at thigh level. However, lower segments (calf level) and side branches of his varicose vein must be treated at a subsequent session, usually 1-3 weeks after endovenous laser ablation. best method (when done correctly) for treatment of lower parts of greater saphenous varicosity is by foam sclerotherapy, and usually ultrasound guided.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/526_1499901101.jpg
Answered by Vein Specialty Medical Clinic, Inc.

Endovenous laser ablation is done one time for the greater saphenous varicose vein at thigh level. However, lower segments (calf level) and side branches of his varicose vein must be treated at a subsequent session, usually 1-3 weeks after endovenous laser ablation. best method (when done correctly) for treatment of lower parts of greater saphenous varicosity is by foam sclerotherapy, and usually ultrasound guided.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Dec 17, 2009

Generally, one treatment is all you need to close a vein. Varicose veins can recur and do recur in perhaps 15% of the patients after years. These usually arise from a different source vein however, which can be treated at that time if they recur.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/922_1408044082.jpg
Answered by General Vascular Surgery Group

Generally, one treatment is all you need to close a vein. Varicose veins can recur and do recur in perhaps 15% of the patients after years. These usually arise from a different source vein however, which can be treated at that time if they recur.

Published on Jul 11, 2012


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation -10 answers
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
See More
Endovenous Laser Ablation -8 answers
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?
See More
Endovenous Laser Ablation -9 answers
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation -10 answers
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
See More
Endovenous Laser Ablation -8 answers
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?
See More
Endovenous Laser Ablation -11 answers
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?
See More
Endovenous Laser Ablation -10 answers
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
See More
Endovenous Laser Ablation -6 answers
I had endovenous laser treatment and sclerotherapy performed on both the greater and lessor saphenous veins of my legs. It was done on the same day. After a couple of weeks I started feeling numbness and tingling in my legs, mostly below the knee and through my feet. Will the feelings ever go away?
See More
Get answers from our experienced doctors.
How it works
Endovenous Laser Ablation -6 answers
Or does the treatment permanently remove them?
See More
Endovenous Laser Ablation -5 answers
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
See More
Endovenous Laser Ablation -6 answers
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
See More
Endovenous Laser Ablation -13 answers
I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.
See More
Endovenous Laser Ablation -9 answers
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?
See More
Endovenous Laser Ablation -7 answers
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
See More
Endovenous Laser Ablation -5 answers
What are the side effects of drinking alcohol after my evla?
See More
Endovenous Laser Ablation -4 answers
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
See More
Endovenous Laser Ablation -10 answers
It's been a year since my surgery and I still have bruising. Does that mean it's permanent?
See More
Endovenous Laser Ablation -12 answers
Does this procedure hurt?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR