EVLA during pregnancy

What is the risk of performing the procedure while pregnant. I am a surgeon pregnant (2nd tri) with my second. The pain is so great from LSV reflux that I cannot stand or operate. I am looking for answers as to what has been reported about complications.

Answers from doctors (8)


Arizona Vein and Laser Institute

Published on Jan 10, 2012

The effects of laser on pregnant women is not fully documented. Most
of the synptoms do go away after delivery. The wearing
of medical compression stockings and elevating your legs whenever
possible will help.

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Answered by Arizona Vein and Laser Institute

The effects of laser on pregnant women is not fully documented. Most
of the synptoms do go away after delivery. The wearing
of medical compression stockings and elevating your legs whenever
possible will help.

Published on Jul 11, 2012


Heart and Vein Center

Published on Jan 10, 2012

I do not see EVLT as an absolute contrindication. If compression stockings do not control your symptoms, then EVLT can be done safely.
Dr Farhy

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Answered by Heart and Vein Center

I do not see EVLT as an absolute contrindication. If compression stockings do not control your symptoms, then EVLT can be done safely.
Dr Farhy

Published on Jul 11, 2012


Susan B Fox, D.O. RPVI, FSVM

Published on Jan 10, 2012

While you are pregnant your body doubles the blood volume and the hormones cause the veins to relax and enlarge. Most of this will go away post partum. It is a very bad idea to treat while pregnant until 6 weeks post partum unless truly an emergency due to your being hypercoaguable. You are more more prone to getting a blood clot. In a normal person most quote the risk as 1 in 2500 to 1 in 5000. However when you are hypercoagulable this would be higher. As well, if you did get a blood clot you would have to be on heparin for the rest of your pregnancy since coumadin is teratogenic.

I would recommend against EVLT while pregnant.

While pregnany the best thing to do is wear compression hose 20 to 30 mm/hg or 30 to 40 mm/hg. I would recommend thigh highs. Elevate your legs at night and when possible
Hope this helps.

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

While you are pregnant your body doubles the blood volume and the hormones cause the veins to relax and enlarge. Most of this will go away post partum. It is a very bad idea to treat while pregnant until 6 weeks post partum unless truly an emergency due to your being hypercoaguable. You are more more prone to getting a blood clot. In a normal person most quote the risk as 1 in 2500 to 1 in 5000. However when you are hypercoagulable this would be higher. As well, if you did get a blood clot you would have to be on heparin for the rest of your pregnancy since coumadin is teratogenic.

I would recommend against EVLT while pregnant.

While pregnany the best thing to do is wear compression hose 20 to 30 mm/hg or 30 to 40 mm/hg. I would recommend thigh highs. Elevate your legs at night and when possible
Hope this helps.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on May 20, 2011

Not aware of any being done during pregnancy. Would recommend graded compression stocking until after delivery. Risk of DVT is the concern.

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Answered by Bella MD Laser Vein and Aesthetic Center

Not aware of any being done during pregnancy. Would recommend graded compression stocking until after delivery. Risk of DVT is the concern.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on May 19, 2011

As you can imagine, most surgeons are reluctant to perform any procedure on a pregnant patient. In our practice we usually remain conservative with supportive therapy.

Normally we recommend 30-40 mmHg compression for those with existing saphenous incompetence. This can be increased to 40-50 mmHg as the pregnancy progresses from 2nd to 3rd trimester. We would recommend a thigh length or fully panty hose to ensure compression of the entire LSV and worn on both legs.

Norman N. Bein MD FACS RVT

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Answered by Vein Specialties of St. Louis

As you can imagine, most surgeons are reluctant to perform any procedure on a pregnant patient. In our practice we usually remain conservative with supportive therapy.

Normally we recommend 30-40 mmHg compression for those with existing saphenous incompetence. This can be increased to 40-50 mmHg as the pregnancy progresses from 2nd to 3rd trimester. We would recommend a thigh length or fully panty hose to ensure compression of the entire LSV and worn on both legs.

Norman N. Bein MD FACS RVT

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on May 19, 2011

I do not know if there is any proven data on performing laser ablation during pregnancy and, specifically, during the 2nd trimester. There just aren't enough numbers because very few of us would operate electively during pregnancy. Now, having said that, my feelings are the following- Most likely the procedure is safe to do especially if done without any sedation and minimum tumescent. There is, as you know, always a risk to the fetus and I would be very reluctant to recommend a procedure during pregnancy . Only you and your vein surgeon can weigh all the pros and cons and come to an agreement for laser treatment now or medical management until delivery.

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Answered by Vanish Vein and Laser Center

I do not know if there is any proven data on performing laser ablation during pregnancy and, specifically, during the 2nd trimester. There just aren't enough numbers because very few of us would operate electively during pregnancy. Now, having said that, my feelings are the following- Most likely the procedure is safe to do especially if done without any sedation and minimum tumescent. There is, as you know, always a risk to the fetus and I would be very reluctant to recommend a procedure during pregnancy . Only you and your vein surgeon can weigh all the pros and cons and come to an agreement for laser treatment now or medical management until delivery.

Published on Jul 11, 2012


The Kimmel Institute

Published on May 19, 2011

1. Local anesthetic must be used and there may be a fetal absorption (ask your OB).
2. Small (<1%) risk of DVT and PE
3. Medical legal risk if there is any problem with childbirth or infant defects
4. Fetal absorption of vaporized venous intima (that's why many people get a burning taste in their mouth during the ablation)
5. Prone position for the SSV

Richard D. Kimmel, DO, FACOS, FCCP

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Answered by The Kimmel Institute

1. Local anesthetic must be used and there may be a fetal absorption (ask your OB).
2. Small (<1%) risk of DVT and PE
3. Medical legal risk if there is any problem with childbirth or infant defects
4. Fetal absorption of vaporized venous intima (that's why many people get a burning taste in their mouth during the ablation)
5. Prone position for the SSV

Richard D. Kimmel, DO, FACOS, FCCP

Published on Jul 11, 2012


General Vascular Surgery Group

Published on May 19, 2011

No data that I'm aware of with ablation procedures in pregnancy. I'm not sure you could find anyone to do the procedure until you were post partum.
Michael D. Ingegno

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Answered by General Vascular Surgery Group

No data that I'm aware of with ablation procedures in pregnancy. I'm not sure you could find anyone to do the procedure until you were post partum.
Michael D. Ingegno

Published on Jul 11, 2012


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