The VNUS® Closure® procedure, like vein stripping, is used to eliminate reverse blood flow (venous reflux) in the great saphenous vein. But unlike in vein stripping, the vein is not physically removed, and the procedure can be performed without general anesthesia. Like other venous procedures, the Closure procedure involves risks and potential complications. You should consult your doctor to determine whether or not you are a candidate for this procedure and if your condition presents any special risks. Complications reported in medical literature include numbness or tingling (paresthesia), skin burns, blood clots, and temporary tenderness in the treated limb.
Is the procedure painful?
You should experience little if any pain during and after the procedure.
How quickly can I resume normal activity?
You should be able to walk immediately following the procedure and typically resume normal activities within one day.
How soon will my symptoms improve?
You will notice an immediate relief of symptoms including pain, leg heaviness and fatigue. The complete benefits of the procedure may take one to two weeks.
Is there any scarring, bruising or swelling after the procedure?
Patients report minimal or no scarring, bruising or swelling following the procedure.
What if I need the vein for bypass surgery in the future?
The procedure treats diseased veins only, which are not appropriate for bypass surgery.
Is the procedure covered by insurance?
Many major insurance carriers cover the Closure procedure, based on medical necessity for symptom relief.
The VenaCure EVLTTM Treatment
How is a laser procedure different from surgery?
Surgery involves considerable preparation, general anesthesia, the risk of infection, pain in the affected areas and a lengthy recovery period. The medical laser technology used in VenaCure eliminates all of that. It is "minimally invasive." The entry point through which your physician gets the laser fiber to the target area is extremely small, not even requiring stitches. There is really no recovery to speak of. You'll be up and walking as soon as it's over, able to return to full normal activity. The risk of infection is extremely low, and the treatment is not painful.
I've heard about lasers being used in medicine but I'm not sure how they work. Are they safe?
Simply put, a laser is a highly concentrated beam of light. Medical lasers work by delivering this light energy to the targeted tissue with extreme precision so as not to affect the surrounding tissue. They have proven their safety and effectiveness through years of use in a number of medical fields, including ophthalmology and dermatology. In the hands of a skilled physician, lasers offer far less risk and fewer complications than conventional surgery.
Exactly how does a laser treat varicose veins?
Your veins carry blood from the capillaries to the heart. In your leg, this means the blood has to flow upward, against gravity. Consequently, these veins have one-way valves to prevent the blood from backflowing. Over time these valves can fail to close tightly, allowing blood to pool and causing the bulging and twisting characteristic of varicose veins. VenaCure fixes this problem at the source by delivering just the right wavelength of laser energy to just the right tissue, causing the incompetent vein to close. Your body automatically reroutes the blood to other healthy veins.
What is the actual procedure like?
It takes about 45 minutes and requires just local anesthesia. Your physician then inserts a thin laser fiber into the vein through a sheath, and the laser light is emitted through the fiber. While you might feel some unfamiliar sensation, it is not painful. And it is all done in an outpatient setting, such as your physician's office or a one-day surgery center.
How do I prepare?
Simply avoid taking any food or liquid two hours before the procedure.
How long before I see the results?
There may be some slight swelling right after the procedure, but you could start seeing results immediately.
Will the results last?
VenaCure has proved to be 97 percent effective—an outstanding record of success. Therefore, you should experience no recurrence in the veins that have been treated. Follow-up procedures may be desired to obtain optimal aesthetic results.
Will my insurance cover it?
Check your policy and call your insurance provider to find out what their exact coverage will be.
For more information or to schedule an appointment with a Paoli Hospital interventional radiologist, call 1-866-CALL-MLH.
Paoli Hospital Interventional Radiology
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For more information, call 1.866.CALL.MLH.