Non-invasive Treatment For Varicose Veins Offers Immediate Relief

Endovenous Laser Treatment (EVLT) Enables Patient Suffering from Painful Varicose Veins to Return to Labor Intensive Work Day after Treatment

COCONUT CREEK, FL (November 16, 2011) - 39 year old Gabriel Quiroga is an air conditioner contractor. Each day he drives from house- to -house or business- to -business, pulls out his ladder and climbs up on top of roofs, into attics, and other hard to reach areas. Quiroga is totally dependent upon the use of his legs for his livelihood and a good quality of life.

Several months ago, Quiroga was experiencing pain in his left leg and swelling at the ankle, especially while standing and climbing up ladders. “I was in constant discomfort and was concerned that I might have to change careers. I could barely stand for any length of time without feeling severe pain”, said Quiroga.

Quiroga was referred to William Julien , M.D.,  a board certified, fellowship trained interventional radiologist who is the medical director of South Florida Vascular Associates ( Upon testing and examination, Dr. Julien determined that Quiroga had a large varicose vein in his left leg which was causing venous insufficiency, a common condition resulting from decreased blood flow from the leg veins up to the heart. “When valves become weak and don't close properly, they force blood to flow backward, a condition called reflux”, said Dr. Julien. In normal veins, valves in the vein keep blood moving forward toward the heart. With varicose veins, the valves do not function properly, allowing blood to remain or pool, in the vein. Pooling of blood in a vein causes it to enlarge, which creates pain, especially when a person is standing and placing pressure on the leg.

A non-invasive technique has been developed to treat venous insufficiencies such as varicose veins called Endovenous Laser Treatment (EVLT).  EVLT is an alternative to traditional open surgery called vein stripping, and it requires minimal access to the vein. Light emission (heat) from a laser fiber beam is used to cauterize, or seal off, the inside of the varicose vein wall. This method closes the unhealthy, refluxing vein.

 During this procedure, a local anesthetic is applied to the vein and the physician inserts a tiny catheter into the problematic vein using ultrasound to guide its entry. The energy from the laser then works to close the unhealthy refluxing vein and thus reduce the tension on the surface skin veins. With the problematic vein permanently closed, the body then reroutes the blood to healthier veins returning the blood back to the heart. EVLT is a reliable and simple way to treat varicose veins without surgery.

In the past, if a patient was suffering from bulging, painful varicose veins, a patient would need to undergo an open surgical procedure called vein stripping to seal off the vein. Vein stripping is a very painful and arduous experience for the patient.

Vein stripping is done using general anesthesia and the procedure usually takes up to 1 1/2 hours. During this procedure a vascular surgeon makes two small surgical cuts in your leg. The cuts will be near the top and bottom of your damaged vein. The surgeon will then thread a thin, flexible plastic wire into the vein through your groin and guide the wire through the vein toward the other cut farther down your leg. The wire is then tied to the vein and pulled out through the lower cut, which pulls the vein out with it.

The vascular surgeon will close the cuts with sutures. After surgery you will have bandages and compression stockings on your leg and your leg may need to be wrapped to control swelling and bleeding for 3 - 5 days after surgery. You may need to keep them wrapped for several weeks.

The advantages of EVLT treatment include: treatment typically takes less than one hour, provides immediate relief, general anesthesia is not needed, recovery period is minimized and a patient can immediately return to normal activities, no scarring or stitches, lower rate of complication,  and a higher success rate and durability of the procedure relative to surgery.

“I can’t believe how simple this procedure was”, said Quiroga. “I postponed the procedure for so long thinking I would be out of work for several weeks and the day after the procedure, I was able to climb my ladder, something I thought I might never be able to do again”. Aside for wearing a compression stocking for a few weeks, Quiroga did not experience any discomfort and was immediately able to return to his job. “This procedure is amazing, said Quiroga, I can’t believe how easy and painless it was”.

If you suffer from unsightly and painful varicose veins, call our office for a consultation. or call 954-573-2929

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