What is Microphlebectomy and How is it Different From EVLA?


Microphlebectomy and endovenous laser ablation (EVLA) are highly successful vein treatments. Both are an important part of the overall treatment strategy of venous disease, but they have a few significant differences.

What is microphlebectomy?

Microphlebectomy is used to treat veins that are too small to be treated with endovenous laser ablation (EVLA) but too large to be treated with sclerotherapy. Performed in our office, the minimally invasive treatment removes vein segments through tiny incisions.

After the numbing agent is administered, the problem veins are removed in segments through multiple small 2-3 mm incisions on the skin above the vein. The vein is removed using a vein retractor through the tiny incision.  

How is EVLA different?

EVLA is a much different treatment than microphlebectomy. After local anesthesia, EVLA involves inserting a tiny, flexible catheter into the vein through a small incision, guided by ultrasound imaging. The laser-tipped catheter emits light energy to heat the inner walls of the vein, forcing it to close. Over time, the closed vein is eventually absorbed naturally by your body.

Benefits of microphlebectomy and EVLA

Microphlebectomy and EVLA share the same wide range of benefits and advantages including:

  • A brief, minimally invasive outpatient procedure done in our office
  • Quickly relieves painful symptoms, like aching and heaviness
  • No large incisions, incisional pain or scarring
  • Little to no downtime after treatment
  • Improved blood circulation
  • Improved appearance in the affected leg(s)

After microphlebectomy

After an ambulatory microphlebectomy, most patients can return to their normal routine. Compression stockings are advised to be worn for up to two weeks following treatment. The results will leave your legs smooth and free from ugly, bulging veins and will provide relief from pain, discomfort, restlessness and “heavy” sensations caused by vein disease.

For more information on microphlebectomy and other available vein treatments, call the vein specialists at Northern Illinois Vein Clinic today at (877) 999-7912 to schedule your next appointment.