Tuesday, April 24, 2018

Good post-EVLA care can prevent complications


Endovenous laser ablation, or EVLA, is a minimally invasive treatment used to address specific large varicose veins in the legs. It is considered the gold standard in treatment of venous symptoms, and has largely replaced previous, more invasive standards of care, such as vein stripping. 

EVLA has opened the door for many patients with venous disorders to eliminate symptoms and improve their appearance with minimal time investment and minimal pain, but there are some things to be aware of after EVLA treatment.

As the leg heals, there may be bruising and swelling of the treated area, however, both are self-limited and usually resolve within the first two weeks after the EVLA procedure. 

Phlebitis is another common adverse complication -- one that commonly occurs with any IV stick, or even spontaneously from varicose veins. It is more common with EVLA because with this procedure, we are intentionally "irritating" the vein. The national incidence for resulting phlebitis is recorded at ~30%, however, at my office, we instruct patients who experience any post-procedure pain to use elevation, heat and non-steroidal anti-inflammatory medications, essentially treating pain prophylactically (as a preventative measure). Thus, we tend to have a much lower incidence of post-procedure phlebitis at VHC.

We also guide our patients in their post-EVLA care so that they can experience effective healing and a quick recovery.

If you'd like to learn more about EVLA and other vein treatments, contact us. We're happy to answer your questions or schedule an evaluation of your vein health.

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