Experience of VenaSeal system using in treatment of chronic venous insufficiency

Abstract

Introduction: The VenaSeal device is a disposable, single use system for administering cyanoacrylate adhesive into an incompetent truncal vein which can be used without tumescent anesthesia and without application of heat. The aim of the study was to evaluate our experience of VenaSeal system using. Methods: Our experience included 9 patients (16 lower limbs) with chronic venous insufficiency C2-C4 (CEAP). 2 patients received monoprocedures of VenaSeal, 2 patients – VenaSeal + miniflebectomy, 4 patients – VenaSeal + foam sclerotherapy, 1 patient – RFA of great saphenous vein + VenaSeal closure of perforator vein. Results: The average diameter of the treated vein area in patients of our study was 9.5±2.0 mm. Cyanoacrylate embolization was associated with low pain scores. Moreover, presumably because it does not require tumescent anesthesia, treatment resulted by the absence of ecchymosis. Our patients had no postoperative burns and pigmentation at all. Also, there was no even mild paresthesia in any patient. According to ultrasonography great saphenous veins were closed in all patients both on day 3 and on day 30. The severity and impact of venous disease on quality of life were measured with several end points in our study. Subjects treated with VenaSeal system showed significantly improving of quality of life over time. Conclusions: Using of VenaSeal is a fast and effective method of eliminating the incompetence of the saphenous veins, without the need for tumescent anesthesia, wearing compression knitwear, not accompanied by paresthesias, postoperative burns and pigmentation.