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Windward Heart Center, LLC
25 Maluniu Ave
Suite #201
Kailua, HI 96734

Ph 808.261.2441
Fax 808.261.2447

Endovascular Laser Ablation

Reflux of the saphenous veins and its larger branches can be treated with a laser catheter.

All procedures are done in the office using a local anesthetic called tumescent. Tumescent is a dilute solution of lidocaine with normal saline and bicarbonate. This combination makes the solution comfortable, without the burning sensation of pure lidocaine. It is very fast acting and lasts for several hours after the procedure.

During the procedure, you will feel a small stick of a needle in order to numb the area. Through that area, a small needle is inserted into the vein followed by a guide wire, catheter and the laser fiber. Once the laser catheter is in place, you will experience a few needle sticks and some pressure while the anesthetic is placed around your vein. Once numb, the laser is activated while slowly withdrawing it. The heat from the laser causes damage to the vessel so blood is unable to flow backwards.

Over time, the vein becomes a scar. This procedure improves the circulation by ensuring that blood travels in the correct direction. Symptoms improve quickly and many patients state they see and feel relief in a matter of days.

After the procedure, your legs will be wrapped - this can be removed the next day. Compression stockings should be worn for the next 2 weeks. An anti-inflammatory, such as Ibuprofen, is often given. You may resume normal activities within 2 days. Bruising is normal and mild discomfort is common.