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Dr. Michael Leary

Dr. Leary has been recognized as a leading Orange County vein specialist and is Board Certified on the American Board of Phlebology and the American Board of Emergency Medicine.  He has had a successful career in a Level 1 trauma center, and now has treated over 10,000 patients in his vein practice over the last 8 years.

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Questions & Answers

If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on? Endovenous laser ablation is minimally invasive and very safe. The worst complication would be a blood clot in the leg. This is very rare complication compared to any surgical procedure. In answer to your second question, if the larger saphenous vein is refluxing, or non functioning, the blood has already by- passed that vein. So when you close it off, it will actually make your leg health improve and help preserve the normal veins. The long term venous health will improve

Mapping of a vein is done prior to any EVLT procedure. Ultrasound is done prior to even minor procedures such as sclerotherapy. This eliminates the possibility of missing an important refluxing vein. The EVLT procedure is done entirely under ultrasound guidance.

What is EVLT?   EVLT stands for endovenous laser treatment. It is an effective method for getting rid of varicose veins, a condition caused when vein valves do not close correctly, thereby allowing blood to pool in the affected area. Veins begin to bulge as blood pushes against the vein walls. The result is painful, causing legs to ache and swell. In worse case scenarios, varicose veins can lead to unnecessary bleeding and eczemaor ulceration.             Choosing EVLT 1.                 EVLT deals with the source of varicose veins without an invasive surgical procedure like ambulatory phlebectomy,

Foam sclerotherapy is a good alternative to EVLT, but I find that the laser ablation is more complete. Over ninety nine percent closure rate. I also find it to be less painful then foam procedures, especially when using the newer laser frequencies such as the 1470. Nerve injury would be a very rare complication from the EVLT. The only nerve injury we have ever encountered is a temporary superficial numbness. This usually resolves in a few weeks and again is very rare. I find the laser the best way to close the large saphenous vein, and the foam procedures are