Endovenous laser
Principle :
Based on the thermal effect of the laser in 3 steps :
- A conversion of light into heat
- Transfer of the heat to the vessel wall
- A thermochemical effect on the tissue components of the vessel wall
Method :
![]()
- Starting point of the gesture : At the ankle or under the knee for the greater saphenous vein.
![]()
- Introduction of a graduated catheter into the vein under ultrasound imaging
- Visualization of the spasm
- Tumescent anaesthesia
![]()
- Introduction of the laser fibre
- Introducing the catheter influences the reduction of the vein calibre
![]()
- Withdrawal of the laser fibre with control and visualization of the movement
- Laser shot every 3 mm
- Finalization of the treatment
Modelling :
- Need to obtain a thermal damage of the vessel wall
- Need to know the vein diameter after tumescence
- Energy parameters defined according to the diameter
The Advantages : + + +
| Surgery | Laser | |
| Anaesthesia | General Locoregional Peridural |
Local |
| Hospitalization | 2 to 3 days | No hospitalisation Ambulatory |
| Bruises | Numerous | No bruises |
| Contention stockings | 3 weeks | 2 to 7 days max. |
| Post-operative comfort | No shower for 10 days | Shower possible straight away |
| Sick leave |
3 weeks |
2 to 8 days max. |
A clinical reality :

Indications :
- Greater saphenous veins (10 mm diameter on average)
- Small saphenous veins
- Secondary treatment of residual varicose veins
For more information :


Endovenous