EVLT and Microphlebectomy in Miami

What is Microphlebectomy?

Microphlebectomy is the medical term for the removal of a large or medium sized varicose vein through a tiny incision in the leg. The incisions are less than 1/4 inch in length–just enough to get the vein out with a cosmetically acceptable result. The incisions are so small that they often don’t require stitches to close them. A small piece of adhesive tape usually suffices to close the incision. This is known as a butterfly stitch.

Varicose Veins

What is EVLT treatment?

EndoVenous Laser Ablation Therapy (EVLT) is an outpatient procedure performed using ultrasound imaging guidance. Instead of pulling the vein out as was done in vein stripping, the problematic vein is heat sealed shut from the inside using a laser tip, all through an opening in the skin not much larger than needed for a typical IV. After administering local anesthetic to the area and getting venous access, the interventional radiologist inserts a catheter into the vein and uses ultrasound to expertly guide it up the vein in the leg to a precise location.

Microphlebectomy and EVLT: A Good Combination

After numbing the area around the vein, laser energy is applied to the inside of the vein, heating the vein and sealing it closed. Once the diseased veins are closed, the blood is rerouted to normal, healthy deep veins and the pain and symptoms start to disappear.

EVLT takes roughly 45 minutes and is performed as an outpatient procedure using local anesthesia. It involves minimal pain, no scarring, quick recovery and immediate return to normal activity.

Microphlebectomy and EVLT: A Good Combination

EVLT and Microphlebectomy in Miami

Although some people with varicose veins can be treated with a single treatment session, many people will have several veins that vary in size and “thickness,” often requiring more than one treatment to successfully treat. The good news is, varicose vein treatment methods are designed to work well in combination with each other, and one of the most popular options is a combination of microphlebectomy and endovenous laser therapy (EVLT), also called endovenous laser ablation.

The Benefits of Microphlebectomy and EVLT

Microphlebectomy – which is also sometimes called ambulatory phlebectomy – is a minimally invasive technique that uses one or more very small incisions along the length of a varicose vein to provide access to the diseased vein so it can be removed using special instruments. Microphlebectomy is used for veins that are too small for EVLT, but really too large to obtain optimal results using sclerotherapy. EVLT is a different type of minimally-invasive technique that also uses small incisions to enable a laser fiber to be inserted into diseased veins, destroying them with the laser's focused heat.

Many patients with varicose veins have veins that “fit” into these two size “categories,” and a combination of treatments often is, literally, just what the doctor ordered when it comes to the most effective treatment. In fact, studies have shown a combination of EVLT and microphlebectomy performed in a single treatment session can be provide great results in many patients, relieving symptoms that are most common with larger veins while also producing an excellent cosmetic result for more superficial veins.

Of course, combining treatments isn't for everyone, and you can get the same great results whether the treatments are performed in one session or in two or more sessions over time. And if you have spider veins, you might also want to add sclerotherapy to the mix for a one-two-three punch that takes care of all your vein treatment needs.