Procedure Education
Your
Company
Name
DAVID
DIMARCO
MD
VenaCure EVLT, a 45minute, in-office
procedure requires only
a local anaesthetic and
enables patients to
return to normal activity
immediately – with little
or no pain
Your
Company
Name
DAVID
DIMARCO
MD
Pre-EVLT
2 Wks Post-EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Superficial Venous Insufficiency
Etiology of Primary Disease
Your Company
DAVID
DIMARCO
Name
MD
How Common are
Varicose Veins?
•
•
•
•
Higher incidence in women than men:
– Up to 25% of all women suffer
– Up to 15% of all men suffer
100 - 150 million people in US and Europe
Not all are treated but 1 million surgical “stripping” procedures are
performed in US and Europe annually
Obesity, pregnancy, age & prolonged standing add to the problem
Your
Company
Name
DAVID
DIMARCO
MD
What Causes
Varicose Veins?
Your
Company
Name
DAVID
DIMARCO
MD
Pre-EVLT
2 Wks Post-EVLT
Your
Company
Name
DAVID
DIMARCO
MD
What happens when
the Valves Fail?
Valves in the vein lack the apposition
needed to prevent reverse flow of blood
down your leg
Prolonged dilation damages the valves,
so even when vasoconstriction occurs,
the blood continues to flow in the wrong
direction
The resulting backpressure is termed
“venous hypertension”, and this is what
causes the painful varicosities
Your
Company
Name
DAVID
DIMARCO
MD
Surgical Treatment
Stripping and Ligation
Once the “stripper” is tied in place, the surgeon
rips the stripper and the vein from the leg
Groin incision, ligation and
tying off of tributaries and GSV
Your Company
DAVID
DIMARCO
Name
MD
Problems with Stripping
and Ligation of the GSV
• The procedure must be done under general anesthesia in a
hospital setting
• Most patients suffer from severe post-operative pain requiring
prescription drugs to cope
• Severe bruising/ tenderness along the treated vein
• Typical recovery is between 2-4 weeks
• There is a high failure/ reoccurrence rate associated with this
procedure
Your
Company
Name
DAVID
DIMARCO
MD
Treating
Saphenous Vein Reflux
The search for less invasive techniques to treat
varicose veins has led to the development of
EVLT® Endovenous Laser Treatment
Diomed 810 nm Diode Laser
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Wks Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre – EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
The VenaCure EVLT
Procedure
Under local anesthesia,a
catheter is placed in the
vein through a needle
The laser is passed
through the catheter to
the top of the vein
After injection of additional anesthesia along the length of
the vein, the laser is fired, and the catheter is withdrawn
back out of small puncture site
Your Company
DAVID
DIMARCO
Name
MD
Post-Operative Care
•
•
•
•
Dress leg with compression bandage
Class II compression stocking
20 minute walk
Resume normal activities
– Avoid hot baths
– Avoid vigorous gym workouts
• OTC analgesics for any
pain-Tylenol, Motrin
Your
Company
Name
DAVID
DIMARCO
MD
Follow Up Care
• Examinations done with ultrasound to confirm vein
staying closed:
– At one week
– At one, three and six months
– Yearly thereafter
• Additional cosmetic treatment as needed
– Sclerotherapy/ Phlebectomy
Your
Company
Name
DAVID
DIMARCO
MD
What Can I Expect
After My Procedure
• Mild Bruising can occur along the leg that has been
treated
• A “tightening” sensation along the vein is reported by
many patients
• Some mild tenderness along the vein for a couple of
days is common
• Tylenol / Motrin is typically
all that is needed
Your
Company
Name
DAVID
DIMARCO
MD
Have there been studies
done to prove the safety and
efficacy of VenaCure EVLT?
Absolutely….let’s take a look
Your
Company
Name
DAVID
DIMARCO
MD
Endovenous
Laser Treatment
- Results
• 98% (686/701) closed at 3 - 42 months
• 223 limbs followed at least 2 years
demonstrate continued occlusion
Min R, Khilnani N, Zimmet. Endovenous
laser treatment of saphenous vein reflux:
long-term results. JVIR 2003; 14: 991-996.
Over ½ a Million procedure performed globally
Your
Company
Name
DAVID
DIMARCO
MD
Pre-Treatment
2 month Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
VenaCure EVLT®
The Results
• 495 GSV’s treated in 423 Patients
• 98% initial technical Success, more than 93%
remain closed over 2 years
• Well tolerated by all patients under strictly local
anesthesia
Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results
Robert J. Min, MD, Neil Khilnani, MD, and Steven E. Zimmet, MD
J Vasc Interv Radiol 2003; 14:991–996
Your
Company
Name
DAVID
DIMARCO
MD
VenaCure EVLT
The Results
Combined Results
Min, et al.
•
•
•
•
•
> 3000 GSVs treated with endovenous laser
Up to 28 month follow-up
> 97% of GSVs have remained closed
Bruising & mild/moderate tenderness (< 2 wks)
No other minor or
major complications
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Pre - EVLT
2 Mo. Post - EVLT
Your
Company
Name
DAVID
DIMARCO
MD
Advantages
•
•
•
•
•
Proven-safe, in-office procedure
Well-tolerated with local anesthesia
Non-scarring with minimal access site size
Immediate return to daily activities
Lower treatment costs
compared to surgery
Your
Company
Name
DAVID
DIMARCO
MD