Venaseal is an FDA-approved system used to permanently treat varicose veins close to the surface of the skin. A catheter is inserted through the skin, and a small amount of medical glue is injected into the affected vein. Once the vein is sealed, blood that was once backed up gets re-routed to other healthy veins in the leg. The treatment is indicated for varicose veins that produce mild to moderate symptoms such as pain, blood clots, or skin ulcers.
We at Vascular.ae, DO NOT advocate using this.
Why?
The results data doesn’t support the use.
A recent article (2017) in the Journal of Vascular Surgery Venous and Lymphatic Disorders
“ A systematic review and meta-analysis of two novel techniques of nonthermal endovenous ablation of the great saphenous vein.”
Showed that at one year only 89% of the veins remained closed.
Another study in 2017, in the Journal “Phlebology”
“Cyanoacrylate glue used to treat great saphenous reflux: Measures of outcome.”
showed a closure rate of 78.5% at one year with the use of “Venaseal”.
To us, these are not acceptable results.
We track our patients and our most common method of treating venous insufficiency of the greater or short saphenous veins is with “radiofrequency ablation”. We at Vascular.ae, have found that with our method of treatment, the success rate is at 99.4% at the 3 year mark in our practice. For the sake of full disclosure, published literature on this will also show varying results in differing practices.
While we do use Venaseal, we do so only for those patients whose main problem in the vein is “below the knee” and hence at higher risk of nerve injury if heat were to be used.
Our goal is NOT to use the newest technology because it is “new and latest”, but to follow the science to get the best results for our patients, BECAUSE one day all of us will be a patient and hope that our doctor will do the same.