How do I make sure the doctor identifies all my incompetent veins and treats them during EVLT?
Doctor Answers (3)
Venous Insufficiency - different types need different EVLT catheters
There are perforator veins that need a special type of EVLT catheters. These are 1470 nm lasers.
There are other sources of minor reflux that are treated with US guided sclerotherapy.
As well, there are special centers that have the experience to treat segmental reflux within saphenous veins with 1470 nm lasers.
Segmental saphenous reflux can be treated without thermal energy (EVLT or VNUS) using ClariVein.
They can't all be done at once as they need different fibers and generators and it would be too much to do all at once.
Choose a center which has ALL of these technologies under one roof - there are not many out there !
The other points made by the surgeons below are great. choose a specialist who has added certification from the American Board of Venous and Lymphatic Medicine (ABVLM).
Experienced, well trained sonographer and MD is key
Another thing to consider is the training and qualifications of the physician that will be treating you. Vascular surgeons have been dealing with the treatment of varicose veins longer then any other type of specialist and seeing a board certified vascular surgeon likely improves your chances of being accurately diagnosed and appropriately treated. Remember this disease is a disorder of your circulation and not just a cosmetic issue so take it seriously.
When it comes to your veins, let your symptoms be your guide. If you are told you have 6 veins that need EVLT and your legs feel great (normal) with no swelling after two EVLTs, that may be all you really need.