Endovascular Laser Treatment (EVLT) is a laser-based procedure for the removal of varicose veins in the lower extremities. Here is some information that may be useful for patients considering the procedure:

What is EVLT: EVLT is a minimally invasive procedure that utilizes laser energy to close damaged varicose veins. It is an effective method of treating varicose veins without the need for traditional surgical vein removal.
Qualifications for the procedure: Patients with symptoms of varicose veins such as pain, swelling, heaviness, or fatigue in the legs may be candidates for EVLT. A consultation with a physician is necessary to confirm eligibility, as the condition of the legs will be thoroughly evaluated to determine the appropriate course of action.

Procedure overview: EVLT is typically performed on an outpatient basis, allowing patients to return home on the same day. The procedure involves inserting a thin laser fiber into the damaged vein through a small skin puncture. The laser emits energy that causes closure and removal of the varicose vein. The entire procedure is monitored using ultrasound imaging, enabling precise intervention.

Painlessness of the procedure: EVLT is usually painless or causes minimal discomfort. Prior to the procedure, local anesthesia is typically administered around the puncture site to reduce potential pain.

Recovery and return to activities: After the procedure, patients can typically resume daily activities within a few days. The physician may recommend wearing compression stockings and avoiding intense physical exertion for a specified period. Regular walking and avoiding prolonged sitting or standing in one position are also important.

Effects and possible side effects: EVLT has a high efficacy in reducing symptoms associated with varicose veins. This can include alleviating pain, swelling, heaviness in the legs, as well as improving the aesthetics of the legs. Side effects are generally minimal and may include slight swelling, bruising, or a tingling sensation in the treated area.

It is important to consult with a physician specializing in varicose vein treatment before making a decision about EVLT. The physician will be able to thoroughly assess your situation, discuss the benefits and potential risks, and address any individual questions regarding the EVLT procedure.

Price: Starting from 3500 PLN

Procedure duration: Approximately 30-60 minutes

Anesthesia: Yes, local anesthesia

Recovery: 1-2 days


Przed przystąpieniem do zabiegu laserowego usuwania żylaków kończyn dolnych (EVLT) istnieją pewne przeciwwskazania, które należy wziąć pod uwagę. Przeciwwskazania mogą być podzielone na bezwzględne (kiedy zabieg jest całkowicie niewskazany) oraz względne (kiedy zabieg może być rozważany, ale wymaga dodatkowej ostrożności). Oto przykładowe przeciwwskazania:

Absolute contraindications to EVLT procedure:

  1. Pregnancy: EVLT should not be performed on pregnant women due to safety concerns for both the mother and the fetus.
  2. Active skin or circulatory infections: In the presence of an active skin or circulatory infection, the EVLT procedure should be postponed until the infection is resolved.
  3. Deep vein thrombosis: If deep vein thrombosis is present, EVLT may not be suitable, and alternative treatments may be necessary.

Relative contraindications to EVLT procedure:

  1. Blood clotting disorders: Patients with blood clotting disorders, such as bleeding disorders, need to be evaluated for risks before undergoing the procedure. In some cases, adjustments to the therapy may be required prior to the procedure.
  2. Advanced heart failure or respiratory diseases: Patients with severe heart failure or respiratory diseases may require additional evaluation before the procedure.
  3. Allergy or hypersensitivity to procedure components: If a patient has identified allergies or hypersensitivity to the components used in the procedure, alternative treatment methods should be considered.

It is important to note that the final decision regarding contraindications to EVLT should be made by a doctor after a thorough analysis of the individual patient’s situation. Prior to the procedure, it is essential to consult with a specialist who will conduct a comprehensive health assessment, evaluate contraindications, and provide appropriate guidance and recommendations regarding the treatment of varicose veins.


How does the EVLT procedure work?

The EVLT procedure involves the insertion of a thin laser fiber into the damaged vein. The laser emits energy that closes and removes the varicose vein. The laser action is precisely controlled using ultrasound guidance.

What are the benefits of EVLT?

EVLT has many benefits, including reducing varicose vein symptoms such as pain, swelling, and heaviness in the legs. The procedure also helps improve the aesthetic appearance of the legs by removing visible varicose veins.

Is the procedure painful?

EVLT is generally well-tolerated by patients. Local anesthesia is administered before the procedure to minimize discomfort. Patients may experience mild stinging or a warm sensation during the procedure.

How long does the EVLT procedure take?

The duration of the procedure depends on the size and number of varicose veins being treated. Typically, EVLT takes between 30 to 60 minutes.

How soon can I return to normal activities after the procedure?

Patients can usually resume normal activities within a few days after the procedure. The doctor may recommend wearing compression stockings and avoiding intense physical activity for a certain period.

Is EVLT an effective treatment?

EVLT is considered an effective method for treating varicose veins. It can significantly reduce varicose vein symptoms and improve the appearance of the legs. The effects of the procedure are typically long-lasting, but the possibility of new varicose veins developing in the future exists.

What are the possible side effects after the procedure?

After the procedure, patients may experience minor swelling, bruising, or a tingling sensation in the treated area. These side effects usually resolve on their own within a few days.

What are the potential risks and complications associated with EVLT?

While the risk of complications is low, rare cases may include infections, damage to blood vessels, skin discoloration, tingling sensation, changes in skin sensation, or scarring. The doctor will discuss the potential risks with the patient before the procedure.

Is EVLT covered by the National Health Fund (NFZ) or health insurance?

This depends on the country, insurance system, and reimbursement policy. In some cases, if varicose veins are severe and causing significant symptoms, EVLT may be covered. It is important to consult with a doctor or insurance provider for specific information.

Does EVLT require hospitalization?

EVLT is typically performed on an outpatient basis, meaning that patients do not require hospitalization. After the procedure, the patient can usually return home on the same day.

Will I need to wear special compression stockings after EVLT?

The doctor may recommend wearing elastic compression stockings for a specified period after the EVLT procedure. These stockings help support blood return to the heart and reduce swelling. It is important to follow the doctor’s instructions regarding wearing compression stockings.

Is EVLT a permanent solution? Can varicose veins return?

EVLT is an effective treatment with long-lasting results. Closing and removing varicose veins provide lasting effects, but there is a possibility of new varicose veins developing in the future. It is important to maintain leg health, follow the doctor’s recommendations, and maintain a healthy lifestyle.

Can I return to work immediately after EVLT?

Typically, patients can return to work within a few days after EVLT. However, this depends on the individual case and job requirements. The doctor can provide a specific answer based on the patient’s situation.

Can I fly on an airplane after the procedure?

There are no contraindications for flying on an airplane after the procedure. However, it is important to wear compression stockings and follow the doctor’s recommendations.

It’s important to note that the answers to these questions may vary depending on individual cases and the doctor’s recommendations. It is crucial to consult with a specialist before the procedure to obtain accurate and personalized information.


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