EVLT Type Procedures Worth It for Varicose Veins?

EndoVenous Laser Treatment (EVLT) has many advantages over the "old" vein stripping techniques of the past.   If you have thick, varicose veins, it is unlikely an isolated issue.   I would obtain another vascular ultrasound to see if there are other perforator or accessory veins feeding your large varicose veins.   If the ultrasound is still negative for greater or lesser saphenous vein reflux, consider microphlebectomy and sclerotherapy to treat your veins.  EVLT has a very high patient satisfaction rate and can often be covered by insurance if there are medical indications.   

EVLT is specifically indicated for the endovenous ablation of the greater saphenous vein in cases of venous reflux.  If your ultrasound is normal, chances are you would not benefit from EVLT.