Endovenous Laser Treatment (EVLT) is a minimally invasive procedure used to treat varicose veins. It is one of the more advanced treatments available, and is used as an alternative to more uncomfortable varicose vein procedures. In the past, the only options for eliminating varicose veins were stripping or ligation, which were invasive and required a recovery time of up to two weeks. EVLT has changed all of that, using laser technology to get rid of veins in an effective, virtually painless way.
When you choose to undergo EVLT, you have chosen a procedure that will restore the function and aesthetics that have been marred by varicose veins. This outpatient treatment is safe, requires no anesthesia, and can be performed in our office in about an hour.
EVLT utilizes laser energy to eradicate damaged and ineffective veins. The medical lasers used in this treatment deliver light energy with extreme precision, affecting only the targeted area without harming any of the surrounding veins or tissue. At IVC, our doctors have undergone extensive training and are experienced in EVLT. You can be sure that you are in capable hands when you are at IVC.
Before you come in for your EVLT treatment, we will have identified the varicose vein or veins that require treatment. When you arrive for your scheduled procedure, you will get comfortable on the operating table, and your doctor will apply local anesthetic around the treatment area to prepare you for the EVLT therapy.
During your EVLT procedure, a thin laser fiber is inserted into the varicose vein via a small needle, where we use ultrasound imaging to pinpoint the problem area and determine where the laser will need to be positioned. Once that process has been completed, the laser is slowly pulled back through the vein, emitting a specific frequency of light energy as it goes. This laser energy generates a reaction in the vein tissue, damaging the vein walls and causing it to seal shut. Once the vein has collapsed and closed, the blood is automatically diverted to healthy, viable veins. This will not only fix the cosmetic issue of varicose veins, but allow for an increase in your circulation, relieving the discomfort you experienced as a result of your damaged veins.
After the laser is removed, your doctor will apply a compression bandage over the small incision where the probe was inserted to reduce swelling, bruising and bleeding.
Because EVLT is so minimally invasive, there are very few side effects after the procedure. Since it is a short outpatient procedure, you will be able to go home and can immediately resume work and other normal activities if you choose. Patients are encouraged to walk, as this will help your circulation, but heavy lifting or intense exercise should be avoided for a while. You may experience a feeling of tightness in your legs, along with mild soreness, and minor swelling or bruising. These symptoms are completely normal and should disappear within a few days.
The results of your EVLT procedure are evident right away, and for most patients, can last up to five years. With a satisfaction rate of close to 98 percent, EVLT has proven to be significantly more effective than other alternative treatment options.
EVLT offers less risk, fewer complications, and better results than other methods of varicose vein treatment, both during and after the procedure. Some of the advantages of EVLT include:
Although EVLT is a safe procedure when performed by a skilled interventional radiologist, like all medical procedures, it does come with some risks. Serious side effects are rare, but can include:
If you experience any of the symptoms listed, call IVC immediately to talk to your interventional radiologist.
Varicose veins are both a cosmetic nuisance and a sign that there is a deeper problem in your venous system. If you have unsightly varicose veins, and are looking for the latest in successful treatment, IVC can help. Call us today at 503-612-0498 and schedule an appointment to learn more about EVLT.
I’ve been a pt of Dr. Pfisters for over 10yrs, during which time he has performed 5+ procedures. As a medical professional myself, I have an exceptionally high expectation of the quality of care I receive, as well…and JUST AS IMPORTANT…the attitude and respect my Dr’s and healthcare team provide! Dr. Pfister and the staff on his team get AA+++ from me!!!!! He is kind, respectful, informative AND an EXCEPTIONALLY skilled interventional radiologist!!! I won’t EVER trust anyone else!!!P.R.
I had a procedure with Dr. Jamie All this past week, and everything about the experience was exceptional. Dr. All is newer to the practice, and brings with him expertise on new practices and procedures (one of which was what I was seeing them for).
From start to finish:
What makes this space, however, is the staff. Patty, my nurse, was amazing. She was calm and efficient, friendly, and took time answering questions and making sure I was as comfortable as possible. She had clearly taken the time to read my charts, which was a new experience for me–generally, when I’ve had procedures, the nurses and doctors have never looked at my charts before and are reading them in front of me. Patty, on the other hand, took time to talk to me about some items in my chart, as well as to go over the procedure with me (it was a new way of performing the procedure for this facility, but she clearly had taken the time to get familiar with the ins-and-outs of what would need to happen, when, and how). She stayed with me through prep, and then through my entire (several hour) recovery, making sure everything went exactly according to plan. She also made me an awesome surgical-glove balloon animal (I am not a kid, but come on, who doesn’t love balloon animals?)! Her thoroughness, patience, and thoughtfulness really made the experience much less stressful than any surgical procedure I’ve previously had.
Then there was Dan, the Anesthesia Nurse (I hope I got that title correct). He was fantastic. It was clear he, too, had read my chart, and he talked with me about everything they would be using and why. I have several sensitivities regarding anesthesia, and have had some pretty horrible experiences, so this was the part I was most nervous about. I’m small, and often this seems to present issues for whatever reason. Not so with Dan. He’d tailored things to my sensitivities, and everything went as promised: I went to sleep easily, and woke up quickly with no nausea. I was fully awake and alert–as though I’d never really had a procedure–very quickly. I even ate a bit before leaving the recovery area. My pain was pretty much non-existent, and was really well-managed over the course of the next couple days thanks to his research on options (I don’t handle narcotics/painkillers well at all).
The surgical theater staff, who you really only meet for a few brief moments once you’re wheeled in but before you are sent to sleep, all took time to say hi, be reassuring, and just generally had an upbeat attitude. Dan asked me what music I’d like to listen to, but honestly, that is the last thing I remember (which is a good thing–no one wants to wake up in the middle of surgery);but, I am going to assume that there is, indeed, music for those patients that are doing something more like twilight sedation. The theater itself was very modern, clean, and stocked with warm blankets for the patients who, like me, prefer toasty feet.
Thank you to Dr. All and the entire staff for making this experience easier and less stressful than I could have imagined it could be.”S.K.
From the time I first spoke to Maryanne who was so kind, and walked thru your doors with friendly smiles to greet me – meeting Patty who was so kind and caring and meeting Dr. Love – great bedside manner and smile and made sure all my questions were answered – and having the port placed with an excellent team – Paul asking me what my hobbies were first thing – I knew I was in the right place! Thank you all, you all are amazing!Anonymous
One of our best medical experiences during our entire cancer treatment. Thanks so much for everything!Anonymous
This is for Dr. Pfister. I just wanted to thank him for all the time he spent with us the other week. In all the years I’ve had my vascular problems I’ve never had a doctor really sit down and explain to me the intricacies of what might be going on. I have a lot to think about…but just wanted to say thanks for being so nice and answering our many questions!L.H.
A fantastic group of wonderful people. The procedure was very smooth. When they were putting the port in I felt like I was getting a great massage!! Thank you all!S.C.
Charley was instrumental in getting me scheduled in quickly to get my PICC line removed. She actually worked until late in the day to get the information from my referring doctor’s office. It is nice to know great people like Charley still exist in this world!K.S.
I had my blood clot filter removed on 2/21/18. I was very apprehensive, yet EVERYONE in Dr. Pfister’s office and surgical team helped to make me comfortable. I am extremely claustrophobic so laying down or having something covering my face creates anxiety. Mary Anne listened to my concerns and made sure I was made comfortable and did not feel anxious. The surgical team was amazing, they explained everything thoroughly. Dr. Pfister came in after the procedure to review what he did and discuss any follow up that might be required. I so appreciate the time and attention he gives me as his patient. This was a positive experience.G.H.
110% Thank You! Best unit so far in my cancer treatment. Thanks Dr. LoveAnonymous
If you ever need an Interventional Radiologist for a child I realize it is serious business. I’ve seen Dr. Love go and save a child’s kidney without missing a beat. I could recommend no one better for myself, or for people I love. I think he is a little cool at the bedside, but that’s OK Dr. Love, stay frosty! If you can’t see Dr. Love, one of the other professionals at IVC will be able to help you. Ashley, the dynamite scheduler and one of the other surgeons at IVC will care for you. I’ve had multiple surgeries with this practice over the past several years. Never a hiccup!S. R. – Portland, OR
Great experience, doctor was thorough in explaining what was going to happen. The nurses were very attentive and made sure I was comfortable and my needs were met. I would recommend this office for any related procedure.Anonymous
Everything went very smoothly. Joe enjoyed the music. Very friendly staff! Good Experience!J. & E.
All staff was courteous and efficient. Good experience.J. J.
Dr. Pfister, thanks so much for your excellent care, removing my chemo port earlier this week. With all your experience and your fine touch, I’m confident the scar will be nearly invisible. Your team, from beginning to end, did a super job with me. Please extend my gratitude to Jennifer, Mary Anne, Todd and Charley. I’ve got a whole lot of living left to do. I appreciate all of you helping me do it!M. F.
Dr. Pfister, thank you for all of the attention you gave to me. I learned lots from our discussion – hearing you speak of ultimate healing was enough to encourage me to do all I can to strengthen those muscles.S. O.
The entire office is one of the most professional, helpful and informative medical offices I have dealt with (and I have dealt with many). Kudos to Jennifer, Henry, and Charley!K. C.
Great people. Great place. Good surgery.G. G.
Patty, Mary Anne and the whole staff was amazing! Best experience I’ve had since being diagnosed with cancer. From start to finish, was great. Thanks.M
My brother came into Legacy Meridian Park, had a stroke. Dr. Bauer came in immediately, in his work jeans and shirt. He worked with Neurologist Dr. Burbank, developed a plan and took my brother into a procedure where they removed the clot from his head! Very down to earth doctor, explained procedure to family, worked with sense of urgency.J. P.
I want to comment regarding Dr. Bauer of how he was thorough explaining my CT Biopsy and showing me how on the computer he would get the tissue needed. In all the years of several surgeries I have never felt better going in to have a procedure done. His bedside manner was incredible. I wish all doctors were like Dr. Bauer. Thank you for preparing and relaxing me prior to the biopsy.R.S. Molalla OR
Everyone did a superb job taking care of me and doing the procedure. Thank You AllK.S.
Dr. Bauer genuinely cares about his patients and strives to make sure they understand every aspect of their treatment.A. L.
Dr. Bauer, our family wants you to know how thankful we are to you for saving G.P.’s life and bringing him back to us in normal health. Thank you over and over you are the best!Family of G. P.