Endovenous Laser Ablation (EVLA) Treatment Auckland NZ

Endovenous laser treatment (EVLT) is the most effective treatment for varicose veins. Palm Clinic in Auckland, NZ has treated more than 6000 cases of varicose veins with endovenous laser treatment making it the most experienced Vein Clinic in New Zealand with this popular non surgical vein treatment. The laser vein treatment is sometimes referred to as Endovenous Laser Ablation Auckland (EVLA).

Endovenous laser treatment has the lowest recurrence rate for varicose veins compared with varicose vein surgery or Ultrasound Guided Sclerotherapy (UGS)*. Varicose vein surgery such as surgical stripping or ambulatory phlebectomy is no longer the treatment of choice.

How does it work?

A description of how Endovenous Laser Ablation follows below. Palm Clinic now uses Radiofrequency Ablation instead of Endovenous Laser Ablation (EVLA) to treat varicose veins. Radiofrequency Ablation has superceded Endovenous Laser Ablation and is the gold standard treatment. It achieves the same long term outcomes as the EVLA procedure but with significantly shorter recovery times and minimal discomfort following the procedure. No general anaesthesia is required.

Endovenous laser therapy uses a laser fibre which is inserted into the abnormal vein and passed up to the groin under ultrasound guidance. The varicose vein is surrounded by local anaesthetic. No general anaesthesia is required. The laser fibre is turned on and slowly withdrawn to effectively seal the Varicose Vein by delivering laser energy to the vein wall.

At Palm Clinic in Auckland, NZ we used the Cooltouch CTEV laser for varicose veins (we now use Radiofrequency Ablation). This is an ND:Yag 1320nm laser treatment which targets water in the vein wall. Local anaesthetic is placed around the varicose vein which collapses the vein and the laser heats the vein wall forming an effective treatment. Initial studies have shown At Palm Clinic we have achieved 100% closure of varicose veins using laser and 5 year studies indicate greater efficacy with endovenous laser treatment than with surgery or ultrasound guided sclerotherapy (UGS).

After the saphenous vein main trunk of the varicose vein has been treated with the laser you will have some ultrasound guided sclerotherapy (UGS) injections to smaller branch veins. You are then required to walk for 30 minutes before returning to work or home. A follow up appointment a day or two later may involve some further foam sclerotherapy to tidy up residual branch veins.

Endovenous laser therapy is especially useful for large varicose veins but there is a requirement that the treated vein is straight in the thigh or upper calf component – this can only be ascertained with a Duplex ultrasound examination which is performed before treatment. For those patients who are unsuitable for endovenous laser treatment we use Ultrasound Guided Sclerotherapy – this proven technique was pioneered in New Zealand by Dr John Barrett at Palm Clinic.

Palm Clinic runs the busiest Vein Clinic in New Zealand. We have performed the EVLA procedure well over 6000 times since 2004 and over ten thousand legs have been treated non surgically with either EVLA or UGS.

What are the benefits of treatment?

As with our other vein treatments, you are highly likely to achieve a resolution of vein symptoms which can include heaviness, aching, throbbing, ankle/foot swelling, and skin changes such as hyperpigmentation, eczema and even an ulcer. You can also expect bulbous varicose veins to improve cosmetically and while this treatment isn’t directly aimed at improving spider veins, it will often reduce the appearance of them and it will treat the underlying cause leaving you with the option of treating the spider veins directly should you wish with microsclerotherapy or exotherme laser.

Often our patients will tell us they can return to their normal activity faster than they had anticipated.

What happens on the day?

This treatment has now been superseded by Radiofrequency Ablation which is the gold-standard treatment for varicose veins. Please refer to this page for further information about what happens on the day.

In summary though, your Palm Clinic Doctor will welcome you and bring you through to your private change room where they will discuss what is going to happen, answer any questions you have and give you oral and written instructions for after the procedure as well as their contact details for if you have any concerns afterwards. They will cover any potential risks of treatment such as deep vein thrombosis.

Our nurse will take your observations and we will make sure you feel comfortable, informed and ready for treatment. You will change into a gown that we provide.

When ready, you will come through to our procedure room. Your Palm Clinic sonographer, nurse and doctor will be present.

The sonographer will mark your leg to be treated, and align what we see on the ultrasound with what we see on your treatment map.

The Doctor will infiltrate local anaesthetic to make the leg numb and advance a laser fibre up the abnormal vein under ultrasound guidance. When the fibre is safely in position in the saphenous vein and the leg is suitably numb, they will activate the laser fibre. This will effectively close off the faulty vein diverting the flow to healthy veins and improving venous drainage.

Finally, some foam sclerotherapy will be performed to any large veins that are not suitable for Radio Frequency Ablation. The team will then place your compression stockings on to ready you for your walk.

The treated vein will then slowly absorb away over the following months.

What happens afterwards?

This treatment has now been superseded by Radiofrequency Ablation which is the gold-standard treatment for varicose veins. Please refer to this page for full description of what to expect after treatment.

In summary though, you are required to wear your compression stocking for two weeks after treatment. You will also be asked to walk for a total of one hour per day and to avoid strenuous exercise over this same period before returning to normal activity.

While it is less relevant currently, we also ask you to avoid long haul travel for four weeks after treatment. Domestic travel is okay.

Payment options

Varicose vein treatment with Endovenous Laser Ablation is covered by medical insurance when medical necessity criteria apply. Palm Clinic is an affiliated provider to Southern Cross Healthcare and is the only preferred provider for NIB (formerly Tower). This means we can do your prior approval online. EVLA is also covered by most other insurers such as Unimed and Sovereign.

Or, take advantage of our Interest Free Payment plans to cover the cost of your treatment. To apply online go to: www.qmastercard.co.nz and click on ‘Apply Now’.

Talk to our staff today to find out more about our flexible payment options. * Lending criteria, fees, terms and conditions apply.

FAQ

What is Endovenous Laser Ablation?
Endovenous laser treatment for varicose veins uses a laser fibre which is inserted into the varicose vein and passed upto the groin where the abnormal valve is. The vein is surrounded by local anaesthetic. The laser is turned on and slowly withdrawn to permanently and painlessly seal the varicose vein.
What are the benefits?
Endovenous laser ablation is especially useful for large varicose veins but there is a requirement that the vein is straight in the thigh or upper calf component – this can only be ascertained with an ultrasound examination which is performed before treatment.
Can I use my medical insurance?
Endovenous laser treatment for varicose veins is covered by all major insurers including Southern Cross, Sovereign, Tower, Unimed and others. Palm Clinic is an affiliated provider to Southern Cross Healthcare – medical necessity criteria apply.
Is Endovenous Laser the best treatment for Varicose Veins?
Endovenous Laser Ablation (EVLA) is in our opinion the best treatment for varicose veins and has rapidly replaced surgical treatment of varicose veins in the USA and Australasia and most other parts of the world. It has excellent efficacy with greater than 95% closure at five years. The advantages other than it’s excellent efficacy are the walk in/ walk out nature of the treatment, no need for general anaesthetic or sedation, no scars and the ability to return to work the same day. EVLA is often combined with UGS for the branch varicose veins.

Vein care for confidence and comfort at every step.

Consulatation at Palm Clinic with Dr Sam DunnConsulatation at Palm Clinic with Dr Sam Dunn

Why Palm Clinic?

Our highly skilled medical team treat you with care and understanding.

Have a question
or want to make an appointment?

Take advantage of our Interest Free Payment plans to cover the cost of your treatment.
To apply online go to: www.qmastercard.co.nz and click on APPLY NOW
Talk to our staff today to find out more about our flexible payment options.
* Lending criteria, fees, terms and conditions apply.

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Please note that individual results may vary from patient to patient, and the information provided on our website is only a guidance to the possible results.