Endovenous Laser Treatment


Our doctors have been using the CTEV Cooltouch laser to treat varicose veins since 2005. As Fellows of the Australasian College of Phlebology,  Dr Paul Thibault and Dr Simon Thibault are trained and accredited to perform this technically demanding procedure.


EVLA is the latest breakthrough in the modern management of varicose veins. EVLA is performed in the doctor´s office, and provides an effective alternative to surgical stripping for moderate to extremely large saphenous veins. This technique has been in use since 2000 in the USA, and more recently in Europe and Australia.

EVLA involves a combination of laser and ultrasound technology, and does not require admission to hospital or general anaesthesia. Research performed on more than 1000 patients has shown a low risk of complications and superior results when compared with surgery and UGS (excellent results in over 90% of patients).

EVLA is used to treat the main trunks of the saphenous veins. A fine laser fibre is inserted into the target vein, under local anaesthetic. Laser energy is then delivered into the vein, causing the vein to collapse and seal shut. Following the procedure, compression stockings are fitted and a daily walk is advised.

To treat the remaining abnormal branch veins, ultrasound guided sclerotherapy may be required at a later date.

Varicose veins after laser treatment

Varicose Veins before treatment

Not all lasers are the same
There are several different endovenous lasers on the market today. The single most critical component that determines the overall success of endovenous laser treatment is the laser’s wavelength. The CoolTouch CTEV laser has a 1320 nm wavelength, which has been found to be the most comfortable and effective laser treatment for varicose veins.

How does the CoolTouch CTEV laser work?
With the CoolTouch CTEV a small single needle incision is made in the leg and the fibre is inserted into the varicose vein. The laser is activated and as the fibre is moved through the vein it gently heats and safely closes the vein. Once the vein is closed, the blood that was circulating through this vein is simply re–routed to other healthy veins and the varicose vein essentially vanishes.

A simple office based procedure
The CoolTouch CTEV procedure is minimally invasive. You may be awake during the entire procedure but you will not feel any pain as your leg will be numbed using a local anaesthetic and sedation may also be used. The entire procedure will take less than one hour per leg treated.

after ctevbefore ctev3Cosmetically pleasing results

One of the tremendous benefits of the CoolTouch CTEV procedure is that patients do not experience the incision scars or bruising that are often present with alternative treatments. Rarely does bruising occur when the CoolTouch CTEV procedure is performed alone. And since the incision is so small, no stitches are necessary.

Rapid relief from symptoms
Your symptoms will begin to improve immediately after the CoolTouch CTEV procedure is completed. However, depending upon their severity, some symptoms may take one to two weeks to completely disappear.

Quick return to work and play
After the procedure, your leg will be fitted in a stocking and you will be up and walking within 30 minutes. You will be able to resume routine activity the same day and athletic or strenuous activities within several days.

Video of Cooltouch CTEV treatment from "The Doctors"

For more information on the CoolTouch CTEV, download the accompanying brochure

CoolTouch CTEV brochure