Venaseal™ Closure System is a relatively new procedure used to treat varicose veins, a viable alternative to traditional vein stripping surgery or other minimally invasive techniques like endovenous laser therapy (EVLT). The Venaseal™ procedure is preformed in the laser vein clinic and offers a modern, effective, and patient-friendly approach to treating varicose veins by sealing them with a medical adhesive, thereby eliminating the need for traditional vein stripping surgery.



Pre-Procedure Preparation:



Post-Procedure Care:


Advantages of Venaseal™:

 

Considerations:


What are Varicose Veins? Learn About Other Options Book An Appointment
Venaseal™
Closure System
is a relatively new
procedure used to
treat varicose
veins, a viable
alternative to
traditional vein
stripping surgery
or other minimally
invasive
techniques like
endovenous laser
therapy (EVLT).
The Venaseal™
procedure is
preformed in office
by Dr. Rammohan
and an ultrasound
technician and
offers a modern,
effective, and
patient-friendly
approach to
treating varicose
veins by sealing
them with a
medical adhesive,
thereby
eliminating the
need for traditional
vein stripping
surgery.


Pre-
Procedure
Preparation:
Consultatio
n: Before the
procedure, a
patient is
typically
refered to
and
undergoes a
consultation
with Dr.
Rammohan,
a vascular
specialist,
who
assesses
the severity
of the
varicose
veins and
determines if
Venaseal™
is an
appropriate
course of
action.
Preparation
: On the day
of the
procedure,
the patient’s
leg is
cleaned and
sterilized,
and the area
around the
vein(s) to be
treated is
numbed with
a local
anesthetic.
The patient
is awake
during the
procedure,
which is
done under
ultrasound
guidance to
ensure
precise
placement of
the
Venaseal™
adhesive.
Procedure
Steps:
Dr.
Rammoha
n makes a
small
incision
(typically
less than
1mm) near
the
varicose
vein,
usually
around the
knee or
upper thigh
area, to
access the
vein with a
catheter.
A thin
guidewire
is inserted
through the
catheter
and
threaded
up the
length of
the vein to
be treated,
under
ultrasound
guidance
to ensure
accurate
positioning
.
Once the
catheter is
properly
positioned
within the
diseased
vein, the
Venaseal®
system is
used to
deliver
medical
adhesive
(cyanoacry
late) along
the length
of the vein.
This
adhesive
seals the
vein shut
permanentl
y.
The
adhesive
quickly
polymerize
s upon
contact
with blood,
causing
the vein
walls to
stick
together.
Over time,
the treated
vein
becomes
scar tissue
that is
absorbed
by the
body.
Blood flow
is naturally
rerouted to
healthier
veins
nearby.
After the
procedure,
a bandage
is applied
over the
tiny
incision
site.
Post-
Procedu
re Care:
Thigh-
High
Comp
ressio
n stoc
kings
with a
20-
30mm
Hg
must
be
worn
for
48hou
rs
after
the
proce
dure
to aid
in
healin
g and
reduc
e swel
ling.
Patien
ts are
usuall
y enc
ourag
ed to
resum
e nor
mal
daily
activiti
es
shortl
y after
the
proce
dure,
with
minim
al
restric
tions
comp
ared
to
traditi
onal
surger
y.
Patien
ts are
to
avoid
strene
ous
activit
y for
14
days
after
the
proce
dure.
A one
-mont
h follo
w-up
Ultra-
Sound
& in-
office
appoi
ntmen
t is
sched
uled
to
monit
or
healin
g and
ensur
e the
varico
se
vein
has
been
effecti
vely
treate
d.

Advanta
ges of
Venasea
l™:
M
ini
m
all
y
In
va
si
ve
:
R
e
q
ui
re
s
o
nl
y
a
si
n
gl
e
n
e
e
dl
e
st
ic
k
fo
r
a
c
c
e
s
s
a
n
d
a
s
m
all
in
ci
si
o
n.
C
o
m
fo
rt
a
bl
e:
P
at
ie
nt
s
ty
pi
c
all
y
e
x
p
er
ie
n
c
e
lit
tl
e
to
n
o
p
ai
n
d
ur
in
g
or
af
te
r t
h
e
pr
o
c
e
d
ur
e.
F
a
st
R
e
c
ov
er
y:
M
o
st
p
at
ie
nt
s
c
a
n
re
tu
rn
to
n
or
m
al
a
ct
ivi
ti
e
s
wi
th
in
a
d
a
y
or
tw
o.
Ef
fe
ct
iv
e:
Cl
ini
c
al
st
u
di
e
s
h
av
e
s
h
o
w
n
hi
g
h
s
u
c
c
e
s
s
ra
te
s
in
cl
o
si
n
g
va
ri
c
o
s
e
ve
in
s
a
n
d
i
m
pr
ov
in
g
s
y
m
pt
o
m
s.

Conside
rations:
V
e
n
a
s
e
al
is
g
e
n
er
all
y
c
o
n
si
d
er
e
d
s
af
e,
b
ut
lik
e
a
n
y
m
e
di
c
al
pr
o
c
e
d
ur
e,
it
c
ar
ri
e
s
s
o
m
e
ri
s
k
s
s
u
c
h
a
s
th
e
p
ot
e
nt
ial
fo
r
all
er
gi
c
re
a
ct
io
n
s
to
th
e
a
d
h
e
si
ve
or
ra
re
c
o
m
pli
c
at
io
n
s
s
u
c
h
a
s
d
e
e
p
ve
in
th
ro
m
b
o
si
s.
N
ot
all
va
ri
c
o
s
e
ve
in
s
m
a
y
b
e
s
ui
ta
bl
e
fo
r
V
e
n
a
s
e
al
tr
e
at
m
e
nt
,
a
n
d
y
o
ur
va
s
c
ul
ar
s
p
e
ci
ali
st
wi
ll
d
et
er
m
in
e
th
e
b
e
st
c
o
ur
s
e
of
a
ct
io
n
b
a
s
e
d
o
n
in
di
vi
d
u
al
ci
rc
u
m
st
a
n
c
e
s.
Venaseal™ Closure System is a relatively new
procedure used to treat varicose veins, a viable
alternative to traditional vein stripping surgery or
other minimally invasive techniques. The
Venaseal™ procedure is preformed in office by Dr.
Rammohan and an ultrasound technician and offers
a modern, effective, and patient-friendly approach to
treating varicose veins by sealing them with a
medical adhesive, thereby eliminating the need for
traditional vein stripping surgery.


Pre-Procedure Preparation:
Consultation: Before the procedure, a patient
is typically refered to and undergoes a
consultation with Dr. Rammohan, a vascular
specialist, who assesses the severity of the
varicose veins and determines if Venaseal™ is
an appropriate course of action. An ultrasound
Preparation: On the day of the procedure, the
patient’s leg is cleaned and sterilized, and the
area around the vein(s) to be treated is numbed
with a local anesthetic. The patient is awake
during the procedure, which is done under
ultrasound guidance to ensure precise
placement of the Venaseal™ adhesive.
Procedure Steps:
Dr. Rammohan makes a small incision
(typically less than 1mm) near the varicose
vein, usually around the knee or upper thigh
area, to access the vein with a catheter.
A thin guidewire is inserted through the
catheter and threaded up the length of the
vein to be treated, under ultrasound guidance
to ensure accurate positioning.
Once the catheter is properly positioned
within the diseased vein, the Venaseal®
system is used to deliver medical adhesive
(cyanoacrylate) along the length of the vein.
This adhesive seals the vein shut
permanently.
The adhesive quickly polymerizes upon
contact with blood, causing the vein walls to
stick together. Over time, the treated vein
becomes scar tissue that is absorbed by the
body. Blood flow is naturally rerouted to
healthier veins nearby. After the procedure, a
bandage is applied over the tiny incision site.



Post-Procedure Care:
Thigh-High Compression stockings with a 20-
30mmHg must be worn for 48hours after the
procedure to aid in healing and reduce
swelling.
Patients are usually encouraged to resume
normal daily activities shortly after the
procedure, with minimal restrictions compared
to traditional surgery. Patients are to avoid
streneous activity for 14 days after the
procedure.
A one-month follow-up Ultra-Sound & in-office
appointment is scheduled to monitor healing
and ensure the varicose vein has been
effectively treated.

Advantages of Venaseal™:
Minimally Invasive: Requires only a single
needle stick for access and a small
incision.
Comfortable: Patients typically experience
little to no pain during or after the
procedure.
Fast Recovery: Most patients can return to
normal activities within a day or two.
Effective: Clinical studies have shown high
success rates in closing varicose veins
and improving symptoms.

Considerations:
Venaseal is generally considered safe, but
like any medical procedure, it carries some
risks such as the potential for allergic
reactions to the adhesive or rare
complications such as deep vein
thrombosis.
Not all varicose veins may be suitable for
Venaseal treatment, and your vascular
specialist will determine the best course of
action based on individual circumstances.