Varicose Veins and VenaSeal: Is this better than other varicose vein treatments? (photo)
Doctor Answers 7
Venaseal newer not always better
venaseal is a newer vein treatment option. It is a glue that closes off the problematic veins. This is for large veins with venous insufficiency. However, is it better than other treatments that have been around for decades? That remains to be determined. It has no long term data or long term head to head comparisons with other treatments. Also most insurances do not cover it. The radio frequency ablation procedure and endovenous laser procedure have been available for decades and have excellent long term data and results. Is this better? That will be determined in time. I would say newer is newer. Time will tell if newer is better. Hope this helps.
Tough to know yet
Venaseal is a great new addition to the arsenal of treatments we have to treat varicose veins. Is it better? That really is tough to know. The benefits are that it should be painless and requires no significant local anesthesia other than at the access site. Patients can return to normal activity and do not need compression. Initial studies show similar outcomes to RF but long term data is lacking for now.
Venaseal is the newest approved treatment for saphenous reflux. Being new, it does not have the data over the same period of time as some of the other established treatments, such as RF and laser ablation. The current data suggests that Venaseal is safe and effective. We really don't know whether it is better, or even equivalent to the other methods over the long term. Venaseal is also not recognized by many insurance companies yet. That will likely change in the future.
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Venaseal is already available. In fact, our clinic in Miami is a training site for this procedure. Overall, general patient response and satisfaction for Venaseal has been higher for us when compared to laser or radiofrequency ablation. This is mainly because Venaseal does not require patients to return on multiple occasions and further, no compression therapy needed after. In terms of efficacy, Venaseal has been shown to be equal or more effective than current traditional modalities.
VenaSeal is new technique.
VenaSeal by Sapheon and Medtronic is FDA approved for use in the USA - Buffalo Niagara Varicose Vein Treatment
I would wait several months - it is approved for treating venous insufficiency.
It is a glue so the concerns are what happens to the glue if it inadvertently gets into the deep veins. It is meant to be injected into superficial veins (varicose veins), but since it is fluid and before it congeals and becomes solidified, the safety concerns would be if it enters the deep veins of the legs and causes deep vein thrombosis or if it travels to the lungs and causes pulmonary embolism.
I think it will eventually have a significant role as an adjunctive therapy for varicose veins.
Traditional methods to date are foam sclerotherapy, VNUS Closure, EVLT laser, ClariVein and microphlebectomy.
See link below for FDA press release.
The vein Treatment Center has a Director who is an MD and a Fellow of the American College of Surgeons and who has added board certification from the American Board of Surgery, American Board of Thoracic Surgery (cardiovascular surgey) and who is certified by the American Board of Venous and Lymphatic Medicine (ABVLM). Dr Karamanoukian is also a registered physician in vascular interpretation (RPVI).
The Vein Treatment Center performs VNUS Closure, EVLT laser ablation, ClariVein, foam sclerotherapy among other ablation technologies.
We are currently (February 2015) evaluating Sapheon and Varithena - glue and chemical ablation.
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