Endovenous treatments ('from within the vein’) have emerged as effective alternatives to surgery, for the management of varicose veins and chronic venous disease. Rather than surgically removing the problem veins, these techniques involve sealing the veins closed, rerouting blood to nearby healthy veins. These treatments are equally suitable for symptomatic venous disease, or for those bothered by the cosmetic appearance of unsightly varicose veins.
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Widely performed since 2001, Endovenous Laser Therapy (EVLT) uses heat energy to seal malfunctioning veins. Guided by ultrasound imaging, a catheter is threaded through the vein in the lower leg, and advanced to the top of the target vein, commonly in the groin. Delivery of energy by way of the laser fibre causes direct thermal injury to the vein wall, as the device is withdrawn through the diseased vein.
This form of treatment requires tumescent anesthesia, a form of local freezing, along the length of the target vein, in order to promote vein collapse and pre-vent injury to surrounding tissue.
Compared to traditional surgical methods, endovenous thermal ablation has numerous advantages:
• Office-based, minimally invasive intervention
• Decreased overall risk
• Less post-procedure pain
• More rapid return to regular daily activities
Clinical evidence suggests equivalent efficacy of endovenous ablation compared to surgical vein stripping, with a reduction in the rate of long-term recurrence.
After successful endovenous thermal ablation of the culprit surface veins that are responsible for back flow and blood pooling, sclerotherapy may be necessary to treat residual varicose veins. For details, visit the dedicated Sclerotherapy information section.
Currently, endovenous treatments are not covered under OHIP. Contact Own Health for details regarding pricing.
We are rapidly expanding our affiliated clinics throughout the province of Ontario.
We are working to provide comprehensive vein care to all Ontarians.
Own Health virtual platform is supported by a network of physical sites, which provide geographically convenient locations when diagnostics, in-person wound care, and/or surgical interventions become necessary.
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