First, an ultrasound vein mapping will be performed, and the veins marked on the skin with a pen. The endovenous laser ablation procedure takes place while you’re laying down on the exam table. The vein specialist will administer local anesthesia before inserting a laser catheter into the vein. The laser light travels through the laser catheter to heat and destroy the vein without impacting the surrounding tissue. You should feel little-to-no pain during the procedure, but you may experience some bruising.
Since EVLA is a non-surgical procedure, you do not have to abstain from eating or taking medication in preparation; in fact, you should eat a light meal one to two hours prior to the procedure. You should plan on being at the vein clinic for as long as two hours. Patients are on their feet immediately after the procedure and walking is encouraged. Endovenous laser ablation should not leave a visible scar, as the laser catheter only requires a tiny incision.
Though EVLA is considered a relatively minor procedure requiring little downtime, there are some recommended post-procedure recommendations. First, abstain from running or heavy exercise for two weeks after the laser treatment. Second, wearing a compression hose for up to two weeks can help with healing. If you have any discomfort, an over-the-counter pain reliever should take care of it quickly.