This monograph summarises a fifteen-year experience using endovenous laser ablation (EVLA) and is based on data from more than 10,000 patients with varicose veins who were treated with EVLA

This monograph outlines the fundamentals of EVLA from several different perspectives. The developmental history of EVLA from the viewpoint of the innovation life cycle is reviewed, and concepts that underlie the aetiology and pathogenesis of varicose transformation are presented. Experimental, ultrasound, and morphological data that reflect EVLA’s mechanism of action are obtained using mathematical modelling of the processes occurring in the vein. A detailed description is provided of the anatomical variants of varicose transformation, and the justification behind the use of certain strategies and techniques for using EVLA on various pools of the venous system of the lower extremities is explained. Finally, a detailed analysis of the risks and complications associated with EVLA is provided based on long-term results obtained from a vast body of clinical trials. For practitioners, the appendix offers references to regulatory documents describing the operating rules for EVLA equipment, instructions for use of the laser devices, information about the medical documents required when working with laser devices as well as instructions for the administration of first aid in case of laser-related injury.

This monograph is not only intended for phlebologists and vascular surgeons, but also for general surgeons, physicians specializing in ultrasound and X-ray endovascular diagnostics, and medical students.

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