VenaSeal

VenaSeal is a minimally invasive vein closure treatment that uses a medical adhesive to close selected refluxing superficial veins. Unlike EVLT and RFA, VenaSeal does not use heat, which means tumescent anesthesia along the length of the vein is often not needed.

VenaSeal may be considered for adults with clinically symptomatic venous reflux diagnosed by duplex ultrasound. The best treatment depends on vein anatomy, symptoms, medical history, insurance requirements, and physician recommendation.

• Selected refluxing superficial truncal veins
• Symptomatic venous reflux
• Varicose veins caused by a refluxing source vein
• Patients where a non-thermal approach may be appropriate

Using ultrasound guidance, a small catheter is placed into the refluxing vein. Small amounts of adhesive are delivered along the vein while gentle pressure is applied. The vein closes, and blood redirects through healthier veins.

The procedure is performed in the office. Because it is non-thermal, it may involve fewer numbing injections than heat-based ablation. Compression recommendations vary by patient and physician plan.

Most patients walk after the procedure and return to light activity quickly. The care team provides instructions about walking, compression if recommended, travel, exercise, and follow-up.

Coverage for VenaSeal varies. Some plans cover it under specific circumstances, while others may prefer EVLT or RFA first. Benefits should be verified before scheduling.