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VenaSealTM Closure System

The Treasure Coast Cardiovascular Institute is one of the first local vein specialists in Vero Beach to treat patients with venous reflux disease using the VenaSealTM closure system, a minimally invasive procedure that uses an advanced medical adhesive to safely and effectively close the diseased vein segment.

The VenaSeal procedure delivers a small amount of a specially formulated medical adhesive to seal — or close — the diseased vein, rerouting blood to nearby healthy veins and providing symptom relief. The VenaSeal closure system is a safe and effective treatment, offering significant improvement in quality of life.1-4

The VenaSeal procedure

Step 1: Catheter is placed in the vein
Using an ultrasound, your doctor will position a catheter into the diseased vein through a small access site.

Step 2: Specialized adhesive is placed
A specially formulated medical adhesive is placed in the diseased vein via a small catheter.

Step 3: Light external pressure is applied
Light external pressure is applied to adhere the vein walls together. This step is repeated for the length of the vein.

Step 4: Catheter is removed
The catheter is removed and a single adhesive bandage is applied to the vein access site.

Before the procedure

You will have an ultrasound imaging exam of the leg being treated. This exam is important for assessing the diseased superficial vein and planning the procedure.

During the procedure

Your doctor can discuss the procedure with you. Here is a brief summary of what to expect:

  • You may feel some minor pain or stinging with a needle stick to numb the site where the doctor will access your vein.
  • Once the area is numb, your doctor will insert the catheter (i.e., a small hollow tube) into your leg. You may feel some pressure from the placement of the catheter.
  • The catheter will be placed in specific areas along the diseased vein to deliver small amounts of the medical adhesive. You may feel a mild sensation of pulling. An ultrasound will be used during the procedure to guide and position the catheter.

After the procedure

  • After treatment, the catheter is removed and a small adhesive bandage is placed over the puncture site.
  • You will be taken to the recovery area to rest.
  • Your doctor will recommend follow-up care as needed.

Benefits of using the VenaSealTM Closure System include:

  • Simple outpatient procedure
  • Lasting results, with a 94.6% closure rate at five years1
  • Compression stockings may not be needed after the procedure2,3
  • Faster recovery time than thermal ablation1,2
  • Less pain and bruising than thermal ablation1,2
  • No tumescent anesthesia
  • Eliminates Risk of thermal nerve injury
  • Administered without the use of tumescent anesthesia
  • Minimize the need for multiple sticks
  • Minimal-to-no bruising post procedure

Contact our practice to learn more about varicose veins,CVI, and the clinical and lifestyle related benefits associated with the treatment of CVI using the VenaSealTM procedure.

Individual results may vary. As with all medical procedures, there is a chance that complications may occur, including, but not limited to the following: Allergic reaction to the VenaSeal adhesive, Arteriovenous fistula (i.e., an abnormal connection between an artery and a vein), Bleeding from the access site, Deep vein thrombosis (i.e., blood clot in the deep vein system), Edema (i.e., swelling) in the treated leg, Hematoma (i.e., the collection of blood outside of a vessel), Hyperpigmentation (i.e., darkening of the skin), Infection at the access site, Neurological deficits including stroke and death, Non-specific mild inflammation of the cutaneous and subcutaneous tissue, Pain, Paresthesia (i.e., a feeling of tingling, pricking, numbness or burning), Phlebitis (i.e., inflammation of a vein), Pulmonary embolism (i.e., blockage of an artery in the lungs), Urticaria (i.e., hives) or ulceration may occur at the site of injection, Vascular rupture and perforation, Visible scarring.

References

1 Morrison N, Gibson K, McEnroe S, et al. Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous veins (VeClose). J Vasc Surg. April 2015;61(4):985-994.

2 Proebstle T, Alm J, Dimitri S, et al. Three-year follow-up results of the prospective European Multicenter Cohort Study on Cyanoacrylate Embolization for treatment of refluxing great saphenous veins. J Vasc Surg Venous Lymphat Disord. March 2021;9(2):329-334.

3 Almeida JI, Javier JJ, Mackay EG, Bautista C, Cher DJ, Proebstle TM. Thirty-sixth-month follow-up of first-in-human use of cyanoacrylate adhesive for treatment of saphenous vein incompetence. J Vasc Surg Venous Lymphat Disord. September 2017;5(5):658-666.

4 Morrison N, Gibson, Vasquez M, et al. VeClose trial 12-month outcomes of cyanoacrylate closure versus radiofrequency ablation for incompetent great saphenous veins. J Vasc Surg Venous Lymphat Disord. May 2017;5(3):321-330.

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