Endovenous laser ablation (EVLA) has a successful initial closure rate of 95-100%. The outcomes appear durable, with a persistent closure rate of 94-97%. Reports of major complications following endovenous laser ablation (EVLA) are rare an are less than 1%.
A pressure stocking is applied and must be worn for a week. The majority of patients can return to normal activities including work the next day. A person is usually reevaluated between postoperative days 3 and 7 after laser ablation fr varicose veins. After the procedure, the treated vein should be shown to be incompressible and without flow, with no evidence of thrombus in the femoral or popliteal veins.
Contraindications for this procedure include:
* Poor general health
* Allergy to local anesthetic
* Hypercoagulable states
* Infection of the leg to be treated
* Lymphedema
* Nonambulatory state
* Peripheral arterial insufficiency
* Recent or active venous thromboembolism
* Thrombus or synechiae in the vein to be treated
* Tortuous GSV