EVLA combined with sclerotherapy is an effective treatment approach for patients with venous insufficiency in both legs. This dual intervention targets both deep and superficial vein reflux, offering comprehensive management for visible varicose veins and underlying venous pathology.

Patient N.T.K.A., born in 1962, visited Dr.Vein Clinic with symptoms of calf tightness when standing for long periods, prominent twisted blue veins, and persistent leg numbness and fatigue.

The patient had previously been diagnosed with varicose veins and took oral medication for two months without noticeable improvement. Upon examination and duplex ultrasound, Master – Doctor Phan Duy Kien detected reflux in the left great saphenous vein and reflux in the right small saphenous vein. The diagnosis was classified as Stage 2 chronic venous insufficiency.

The following treatment plan was prescribed:

  • EVLA (Endovenous Laser Ablation using 1940nm wavelength) for the left great saphenous vein
  • Follow-up session of sclerotherapy targeting incompetent superficial branches and visibly dilated surface veins

At the post-treatment follow-up, ultrasound confirmed complete closure of the left great saphenous vein, indicating successful elimination of reflux. The patient also reported significant relief from calf tightness and leg fatigue.

Wearing compression stockings and adhering to scheduled follow-up visits are essential for long-term symptom control and preventing recurrence.

Real outcomes of EVLA combined with sclerotherapy in treating bilateral varicose veins

EVLA ket hop tiem xo dieu tri suy gian tinh mach hai chan

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-02

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-03

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-04

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-05

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-06

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-07

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-08

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-09

EVLA-ket-hop-tiem-xo-dieu-tri-suy-gian-tinh-mach-hai-chan-10

Master – Dr Phan Duy Kien examined the patient

Gân xanh hiện rõ ngoằn ngoèo, bắp chân căng, nặng khi đứng lâu: Phác đồ điều trị can thiệp cho ca C2

English version below] Gân xanh hiện rõ ngoằn ngoèo, bắp chân căng, nặng khi đứng lâu: Phác đồ điều trị can thiệp cho ca suy van tĩnh mạch C2 ---------------------- Hồ sơ bệnh án ▪️ Giới tính: Nữ ▪️ Năm sinh: 1962 Triệu chứng/ Lý do khám: ▪️ Căng bắp

Treatment video: EVLA combined with sclerotherapy in treating bilateral varicose veins

Endovenous laser ablation: Best solution for chronic venous insufficiency from grade 2.

Endovenous laser ablation: Best solution for chronic venous insufficiency from grade 2. ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Sclerotherapy for instant results

Sclerotherapy for instant results ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Sclerotherapy for instant results

Sclerotherapy for instant results ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Sclerotherapy for instant results

Sclerotherapy for instant results ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Sclerotherapy for instant results

Sclerotherapy for instant results ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Sclerotherapy for instant results

Sclerotherapy for instant results ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

UGFS: Solution for treating incompetent saphenous veins in the lower leg

Ultrasound-Guided Foam Sclerotherapy (UGFS): Solution for treating incompetent saphenous veins in the lower leg ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Selective sclerotherapy: Targeted treatment for prominent veins

Selective sclerotherapy: Targeted treatment for prominent veins ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Selective sclerotherapy: Targeted treatment for prominent veins

Selective sclerotherapy: Targeted treatment for prominent veins ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Sclerotherapy for instant results

Sclerotherapy for instant results ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.

Sclerotherapy for instant results

Sclerotherapy for instant results ---------------------- Dr. Vein with a team of 100% vascular doctors directly treating with "5 NO" criteria: ✅ No pain ✅ Non-invasive ✅ No need to use medicine ✅ No need to rest ✅ No recurrence in the treated area ---------------------- Dr.Vein specializes in treating vascular diseases and varicose veins.