Could i have bleeding post op EVLT?

If the vein were to refill, could I develop a tear and bleed?

Answers from doctors (10)


Vein Center of Orange County

Published on Jul 28, 2015

Although anything could happen under the right circumstances, bleeding after EVLT is highly unlikely. Slight bleeding at the insertion site may briefly occur when the fiber is withdrawn at the end of the procedure, but this is easily controlled by firm direct pressure for a few minutes before applying the dressing. Laser energy CLOSES the vein which may be why I have never observed bleeding after more than a decade of performing EVLT. Thus, bleeding is very unlikely in the absence of a bleeding disorder.

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Answered by Vein Center of Orange County

Although anything could happen under the right circumstances, bleeding after EVLT is highly unlikely. Slight bleeding at the insertion site may briefly occur when the fiber is withdrawn at the end of the procedure, but this is easily controlled by firm direct pressure for a few minutes before applying the dressing. Laser energy CLOSES the vein which may be why I have never observed bleeding after more than a decade of performing EVLT. Thus, bleeding is very unlikely in the absence of a bleeding disorder.

Published on Jul 11, 2012


Destin Vein Center

Published on Jul 27, 2015

That is very unlikely

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Answered by Destin Vein Center

That is very unlikely

Published on Jul 11, 2012


Vascular Center and Vein Clinic of Southern Indiana

Published on Jul 24, 2015

Bleeding from a tear in the vein would be a rare event. Most patients have bruising from the puncture site, and tumescent anesthetic administered, which is a normal after most procedures.

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Answered by Vascular Center and Vein Clinic of Southern Indiana

Bleeding from a tear in the vein would be a rare event. Most patients have bruising from the puncture site, and tumescent anesthetic administered, which is a normal after most procedures.

Published on Jul 11, 2012


Georgia Vascular Institute

Published on Jul 24, 2015

It is possible to have bleeding post EVLT. Depends on where and how long after. Sometimes immediately after you can get it at the initial puncture site. Sometimes significant bruising can occur at different points of the leg along the tumescent sticks.

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Answered by Georgia Vascular Institute

It is possible to have bleeding post EVLT. Depends on where and how long after. Sometimes immediately after you can get it at the initial puncture site. Sometimes significant bruising can occur at different points of the leg along the tumescent sticks.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jul 24, 2015

There should be no risk of post treatment bleeding with EVLT. On occasion if phlebectomy (removal of varicose veins) is performed at the same time there could be a small area of bleeding but local pressure and elevation will take care of it..

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Answered by Vein Specialties of St. Louis

There should be no risk of post treatment bleeding with EVLT. On occasion if phlebectomy (removal of varicose veins) is performed at the same time there could be a small area of bleeding but local pressure and elevation will take care of it..

Published on Jul 11, 2012


Advanced Vein Center

Published on Jul 24, 2015

Extremely unlikely. The vein is closed.

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Answered by Advanced Vein Center

Extremely unlikely. The vein is closed.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Jul 24, 2015

This never happens.

Answered by Laser Vein Center (View Profile)

This never happens.

Published on Jul 11, 2012


Rosen Vein Care

Published on Jul 24, 2015

Highly unlikely. There is minimal bleeding during EVLT. After the procedure, you may notice some pink-tinged liquid on your dressings. This is merely some of the local anesthetic that was used during the procedure that has drained out through the tiny wounds. The chance of a treated vein remaining open or reopening after a procedure is 5% or less. The doctor performing your procedure calculates a dose of energy to deliver to the vein in order to get it to close off and ultimately scar and shrivel away. Sometimes the dose is enough to close off the vein temporarily but not permanently. If this does occur, bleeding is highly unlikely. Instead, the symptoms and bulging veins you initially presented with would likely remain or reoccur quickly. Great question! It's one you should discuss more fully with the doctor planning to do your EVLT as that doc is more informed about your particular medical history than I am. Be well!

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Answered by Rosen Vein Care

Highly unlikely. There is minimal bleeding during EVLT. After the procedure, you may notice some pink-tinged liquid on your dressings. This is merely some of the local anesthetic that was used during the procedure that has drained out through the tiny wounds. The chance of a treated vein remaining open or reopening after a procedure is 5% or less. The doctor performing your procedure calculates a dose of energy to deliver to the vein in order to get it to close off and ultimately scar and shrivel away. Sometimes the dose is enough to close off the vein temporarily but not permanently. If this does occur, bleeding is highly unlikely. Instead, the symptoms and bulging veins you initially presented with would likely remain or reoccur quickly. Great question! It's one you should discuss more fully with the doctor planning to do your EVLT as that doc is more informed about your particular medical history than I am. Be well!

Published on Jul 11, 2012


Texas Vein And Cosmetic Specialists

Published on Jul 24, 2015

Bleeding is a potential risk for any surgical procedure. When properly performed by a board certified vascular surgeon, the chances for significant bleeding are extremely small.

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Answered by Texas Vein And Cosmetic Specialists

Bleeding is a potential risk for any surgical procedure. When properly performed by a board certified vascular surgeon, the chances for significant bleeding are extremely small.

Published on Jul 11, 2012


Susan B Fox, D.O. RPVI, FSVM

Published on Jul 24, 2015

You should not really have much bleeding post EVLA. The incision is usually just a few mm. We usually put a steri strip over it. It is rare that anyone has bleeding but sometimes they bang the incision or the steri strip sticks to the stocking and rips off and may cause some slight bleeding. I would not say it is anything significant

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Answered by Susan B Fox, D.O. RPVI, FSVM

You should not really have much bleeding post EVLA. The incision is usually just a few mm. We usually put a steri strip over it. It is rare that anyone has bleeding but sometimes they bang the incision or the steri strip sticks to the stocking and rips off and may cause some slight bleeding. I would not say it is anything significant

Published on Jul 11, 2012


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