Varicose Vein Treatment
Following an initial consultation and duplex ultrasound, varicose veins are treated in-office with one or a combination of the following treatments, which are often covered by insurance if the patient is symptomatic and the ultrasound shows signs of venous reflux (backwards flow of blood).
EndoVenous Laser Treatment (EVLT)
The Endovenous Laser Treatment (or Ablation) procedure is performed in Dr. Cutchen’s office under local anesthesia. This procedure closes the abnormal saphenous veins. With ultrasound guidance, a thin laser fiber is inserted into the vein through a tiny incision in the calf and advanced to the top of the vein. After placement of local anesthetic around the vein, the laser is activated, which delivers heat to the vein wall, causing it to heat, collapse and seal shut. The vein will then disappear over 6-12 months. Patients are able and required to walk immediately after the procedure, and most patients return to work the next day. Following treatment, patients wear prescription-strength compression stockings for three weeks.
In some cases, other treatments, including ambulatory phlebectomy and endovenous chemical ablation, are used in combination with endovenous laser ablation to achieve the best possible results.