Discover Venaseal: Expert Glue Ablation Procedure by Dr. Luis Figueroa for Varicose Veins and Chronic Venous Insufficiency

Imagine reducing leg discomfort and swelling without surgery or lengthy recovery—Venaseal glue ablation offers a minimally invasive option. This advanced treatment uses a special medical-grade adhesive to seal diseased veins, guiding blood flow back to healthier vessels with minimal disruption.

Medical-Grade Cyanoacrylate Adhesives: The Science Behind Venaseal

Medical-grade cyanoacrylate adhesives are specially formulated for medical applications, designed to create strong, sterile bonds quickly and efficiently. These remarkable compounds have been safely used in various medical fields for decades, from wound closure to internal surgical applications. The specific formulation used in the VenaSeal system is a proprietary n-butyl-2-cyanoacrylate, which is biocompatible and designed for permanent vein closure.

The science behind these adhesives is fascinating. When cyanoacrylate comes into contact with an anionic surface, such as the proteins and water present in blood and vein walls, it rapidly polymerizes. This process creates a strong, flexible bond that effectively seals the vein. Unlike industrial superglues, medical-grade cyanoacrylates are purified, sterilized, and formulated to minimize inflammatory responses and ensure patient safety. Their rapid polymerization means the procedure is quick, and the bond is immediate, allowing for immediate ambulation and often eliminating the need for post-procedure compression stockings.

In this comprehensive guide, you’ll explore the VenaSeal procedure, understand why Dr. Luis Figueroa’s specialized expertise is valuable, learn how to prepare and recover, compare VenaSeal to other treatments, weigh its benefits and risks, consider cost and insurance, and find out how to book your consultation. By understanding each step and consideration, you can determine if glue ablation might be a good option to discuss with a licensed provider.

What Is the Venaseal Glue Ablation Procedure?

Venaseal glue ablation is a non-thermal, non-tumescent technique for vein closure. It uses a cyanoacrylate adhesive delivered through a catheter, guided by ultrasound, to seal targeted veins. This method avoids the use of heat or extensive numbing and allows patients to walk immediately after the procedure, with a generally quick recovery. The core principle is to redirect blood flow from the diseased vein to healthier veins, thereby alleviating symptoms associated with venous insufficiency.

The procedure is a testament to modern vascular medicine, offering a gentle yet effective solution. By eliminating heat, Venaseal bypasses the potential for thermal nerve damage, a concern with some other ablation methods. The "non-tumescent" aspect means there's no need for large volumes of dilute local anesthetic injected around the vein, which can be uncomfortable and prolong the procedure. This makes Venaseal a more comfortable experience for many patients, both during and immediately after the treatment.

How Does the VenaSeal Closure System Work with Cyanoacrylate Adhesive?

The VenaSeal Closure System involves a slender catheter inserted into the affected vein under ultrasound guidance:

• The adhesive is injected in specific segments along the length of the diseased vein.

• The cyanoacrylate bonds the vein walls together upon contact, creating an immediate seal.

• The sealed vein collapses and is eventually reabsorbed by the body, and blood reroutes through healthy veins.

This approach is designed to reduce nerve irritation and avoid thermal damage, leading to a smoother recovery and minimal post-procedural discomfort. The precision of ultrasound guidance ensures that the adhesive is delivered exactly where it's needed, maximizing efficacy and safety.

Which Conditions Does Venaseal Treat?

Venaseal may be considered for:

• Varicose veins involving the great or small saphenous veins which are often the underlying cause of visible varicose veins.

• Chronic Venous Insufficiency (CVI), associated with leg heaviness, swelling, aching, fatigue, and restless legs.

• Venous reflux that may cause aching, itching, skin changes (such as discoloration or thickening), and even venous ulcers in advanced stages.

These potential applications aim to restore circulation and ease leg discomfort by addressing the root cause of venous reflux. CVI occurs when the valves in the leg veins become damaged or weakened, preventing blood from flowing back up to the heart efficiently. This leads to blood pooling in the legs, increasing pressure and causing the various symptoms. Venaseal effectively closes these incompetent veins, allowing the body to naturally reroute blood through healthy, functional veins. However, treatment suitability must be determined by a licensed healthcare provider after a thorough diagnostic evaluation, including a detailed ultrasound scan.

What Are the FDA and Health Canada Approvals for Venaseal?

The VenaSeal system has undergone rigorous testing and regulatory review to ensure its safety and efficacy:

• FDA Approval: 2015, for use in treating symptomatic superficial varicose veins in the legs using adhesive. This approval followed extensive clinical trials demonstrating its effectiveness and safety profile.

• Health Canada Approval: 2014, for similar indications, making it available to Canadian patients.

These approvals signify that the VenaSeal system meets high standards for medical devices and is a recognized, safe, and effective treatment option for venous insufficiency.

Why Choose Dr. Luis Figueroa for Your Venaseal Treatment?

Dr. Luis Figueroa is a board-certified vascular surgeon specializing in minimally invasive vein procedures. His practice emphasizes technical precision combined with patient-centred care, which supports positive outcomes with Venaseal and other advanced treatments. Choosing a specialist like Dr. Figueroa ensures that you are receiving care from someone with deep expertise in the vascular system, not just a general practitioner.

His commitment extends beyond the procedure itself; it encompasses a holistic approach to vein health. From the initial consultation to post-procedure follow-ups, Dr. Figueroa and his dedicated team prioritize patient education, comfort, and long-term well-being. The clinic environment is designed to be welcoming and reassuring, understanding that medical procedures can be a source of anxiety for many.

What Is Dr. Luis Figueroa’s Experience?

Dr. Figueroa holds an MD and FRCSC (Fellow of the Royal College of Surgeons of Canada), with board certification in vascular surgery. With over a decade of experience in endovenous treatments, he has performed numerous Venaseal procedures and focuses on optimizing both clinical results and patient comfort. His extensive background means he has encountered a wide range of venous conditions and can tailor treatment plans to individual patient needs, even in complex cases.

His continuous engagement with the latest advancements in vascular surgery through conferences, research, and peer collaboration ensures that his patients benefit from the most current and effective treatment protocols. This dedication to ongoing learning and refinement of techniques is a cornerstone of his practice.

How Does Dr. Figueroa’s Patient-Centred Approach Enhance Venaseal Outcomes?

Dr. Figueroa's patient-centred approach is meticulously designed to ensure optimal results and a positive patient experience:

• Detailed vein mapping using duplex ultrasound: This crucial step provides a precise anatomical roadmap of your venous system, identifying all affected veins and guiding the treatment plan.

• Real-time comfort adjustments during the procedure: Dr. Figueroa and his team are attentive to patient comfort, making adjustments as needed to ensure a smooth and pain-free experience.

• Scheduled follow-up ultrasounds to confirm vein closure: Post-procedure monitoring is vital to confirm the success of the treatment and address any potential concerns early.

This approach supports a smoother healing process and patient satisfaction, ensuring that every aspect of your care is managed with expertise and empathy.

What Are the Unique Benefits of Venaseal at Dr. Figueroa’s Clinic?

Patients choosing Dr. Figueroa’s clinic for Venaseal treatment benefit from several distinct advantages:

• Minimal discomfort, with only local anesthesia required at the catheter insertion site, avoiding the need for extensive numbing injections along the vein.

• Avoids general or tumescent anesthesia, reducing risks associated with sedation and allowing for a quicker return to normal activities.

• Return to normal activity often within 24 hours, making it an ideal option for individuals with busy lifestyles.

• In many cases, compression stockings are not required post-procedure, which is a significant comfort advantage over other vein treatments.

Note: The need for compression or additional care is determined individually by your healthcare provider, based on your specific condition and medical history.

What to Expect During the Venaseal Procedure by Dr. Luis Figueroa

Your visit is structured for comfort and efficiency, including pre-procedure planning, a step-by-step procedure, and clear instructions for post-care. Understanding each phase can help alleviate any anxieties you might have.

How Should You Prepare for Your Venaseal Treatment?

Proper preparation is key to a successful procedure and smooth recovery:

• Attend an initial consultation and ultrasound vein mapping: This diagnostic step is essential for Dr. Figueroa to accurately assess your venous condition and formulate a personalized treatment plan.

• Stay well-hydrated and eat a light meal before the procedure: This helps maintain your energy levels and comfort.

• Wear loose clothing for easy access to the legs: Comfortable attire will also be beneficial for your immediate post-procedure mobility.

• Arrange for transportation if you anticipate needing it, although most patients can drive themselves home.

• Inform the clinic of any medications you are taking, especially blood thinners, as adjustments may be necessary.

What Happens During the Venaseal Glue Ablation Procedure?

The procedure lasts about 15–30 minutes, depending on the number of veins being treated:

• Local anesthesia is given at the catheter insertion site, typically a small area in the lower leg, to ensure you feel no pain during the insertion.

• A thin catheter is inserted into the targeted vein using ultrasound guidance, allowing Dr. Figueroa to visualize the vein and guide the catheter precisely.

• Cyanoacrylate adhesive is injected in small, controlled amounts along the length of the diseased vein.

• Gentle compression is applied externally to help bond the vein walls together as the adhesive polymerizes.

• The catheter is then carefully removed, and a small bandage is applied to the insertion site.

Throughout the procedure, Dr. Figueroa and his team will communicate with you, ensuring your comfort and addressing any questions you may have.

What Is the Post-Procedure Recovery and Care Process?

Following your provider’s post-care instructions will support recovery and optimize results:

Recommendation	Benefit	Timeframe
Light walking	Encourages healthy circulation and prevents blood stasis	Immediately after and regularly for the first few days
Elevate legs	Helps reduce swelling and promotes fluid drainage	During the first 24 hours, especially when resting
Avoid heavy lifting and strenuous exercise	Prevents discomfort, minimizes pressure on treated veins, and aids healing	For the first week, or as advised by Dr. Figueroa
Stay hydrated	Supports overall health and circulation	Continuously
Monitor the insertion site	Check for any signs of infection or unusual swelling	Daily for the first week
Attend follow-up appointment	Allows Dr. Figueroa to assess healing and confirm vein closure	Typically, within 1-2 weeks

How Does Venaseal Compare to Other Varicose Vein Treatments?

Venaseal differs significantly from other treatments by using a non-thermal adhesive instead of heat, offering unique advantages in patient comfort and recovery.

Compared to Endovenous Laser Ablation (EVLT):

EVLT uses laser energy to heat and close the vein. While effective, it requires tumescent anesthesia (multiple injections of numbing fluid along the vein) and carries a small risk of thermal nerve damage. Venaseal, in contrast:

• No need for tumescent anesthesia, leading to a more comfortable procedure.

• Reduced nerve irritation risk due to the absence of heat.

• Shorter recovery time and often no need for compression stockings.

Compared to Radiofrequency Ablation (RFA):

RFA uses radiofrequency energy to heat and collapse the vein. Similar to EVLT, it requires tumescent anesthesia and carries thermal risks. Venaseal offers:

• No thermal energy or fluid injections, enhancing patient comfort.

• Fewer procedural steps, potentially shortening procedure time.

• Similar closure rates with fewer heat-related risks and a gentler recovery profile.

What Other Varicose Vein Treatments Are Available?

While Venaseal is an excellent option for many, Dr. Figueroa's clinic offers a comprehensive range of treatments to ensure the best fit for each patient:

• Sclerotherapy: Injection of a solution (sclerosant) to irritate and close smaller varicose veins and spider veins. It's often used for cosmetic concerns or smaller, symptomatic veins.

• Microphlebectomy: A minimally invasive surgical procedure to remove visible varicose veins through tiny incisions. It's typically performed under local anesthesia.

• Conservative management: Includes compression garments, lifestyle strategies (exercise, leg elevation, weight management), and medication to manage symptoms without invasive procedures. This is often the first line of treatment for milder symptoms or for patients not yet ready for intervention.

Each option has specific indications, and treatment selection is based on a thorough medical evaluation, including ultrasound imaging, and a discussion of your personal goals and health status.

What Are the Benefits and Risks of Venaseal Glue Ablation?

Potential Benefits:

• Minimal pain with local anesthesia makes the procedure well-tolerated.

• Quick return to daily activities, often within 24 hours, minimizing disruption to your life.

• High closure rates reported in studies¹ indicate excellent long-term effectiveness.

• In many cases, no need for compression stockings post-procedure, a significant comfort advantage.

• Non-thermal, non-tumescent approach reduces risks of nerve injury and extensive bruising.

¹Note: Success rates can vary by individual case and clinical context.

Possible Side Effects and Risks:

While Venaseal is generally safe, like any medical procedure, it carries some potential side effects and risks:

• Bruising or tenderness at the site of catheter insertion, which is usually mild and resolves quickly.

• Temporary vein inflammation (phlebitis), which can cause localized tenderness and redness, typically managed with over-the-counter pain relievers.

• Rare allergic reactions to the adhesive, though the medical-grade cyanoacrylate is designed to be biocompatible.

• Skin discoloration or hyperpigmentation, which is uncommon but can occur.

• Very rare instances of deep vein thrombosis (DVT) or pulmonary embolism (PE), risks inherent to any vein procedure, though minimized with Venaseal's approach.

Side effects are generally mild and short-lived, but any concerns should be discussed promptly with your provider. Dr. Figueroa and his team will provide detailed information on how to recognize and manage any potential issues.

How Successful Is Venaseal Long-Term?

High success rates have been reported, with one-year closure rates around 98% and five-year durability near 94.6% according to published clinical data². Clinical studies, such as the five-year follow-up study by Morrison et al., have shown a 94.6% vein closure rate with sustained symptom improvement². This long-term efficacy means that patients can expect lasting relief from their venous symptoms, significantly improving their quality of life. The durability of the Venaseal system is a key factor in its growing popularity, offering a reliable solution for chronic venous insufficiency.

How Much Does Venaseal Cost and Is It Covered by Insurance?

Cost Influencing Factors:

The total cost of Venaseal treatment can vary based on several factors:

• Number and size of veins treated: More extensive venous disease may require treating multiple veins.

• Ultrasound and procedural fees: These cover the diagnostic imaging and the actual treatment.

• Pre- and post-care services: Including consultations, follow-up appointments, and any necessary supplies.

• Geographic location of the clinic and the specific provider's fees.

Insurance Coverage:

Venaseal may be covered by insurance if deemed medically necessary. This typically requires documentation of symptoms (e.g., pain, swelling, skin changes) and objective evidence of vein reflux via duplex ultrasound. Most insurance companies require a trial of conservative management (like compression stockings) before approving interventional procedures. It is crucial to contact your insurance provider directly for specific coverage details, understanding your deductible, co-pays, and any pre-authorization requirements.

Financing Options:

For those without insurance coverage or with high deductibles, Dr. Figueroa’s clinic may offer various financing solutions:

• Flexible payment plans tailored to your budget.

• Third-party medical financing options, such as CareCredit, which offer specialized healthcare credit cards.

• In-office deferred payment programs, allowing you to spread out the cost over time.

Our administrative team is available to discuss these options and help you navigate the financial aspects of your treatment.

Where and How Can You Consult with Dr. Luis Figueroa for Venaseal Treatment?

Taking the first step towards healthier legs is easy. Call or use our online form to book your consultation. During the visit, Dr. Figueroa will conduct a thorough examination, review your ultrasound findings, discuss your symptoms and goals, and tailor a personalized treatment plan to your specific needs. This initial consultation is an opportunity to ask all your questions and gain a clear understanding of the Venaseal procedure and what it can achieve for you.

What Do Patients Say About Their Venaseal Experience with Dr. Figueroa?

Many patients praise Dr. Figueroa’s clear communication, gentle care, and thorough follow-up. Reports of symptom improvement and quick recovery are common, highlighting the effectiveness of the Venaseal procedure and the quality of care provided at his clinic. Patients frequently commend the supportive and professional environment, which contributes significantly to a positive treatment journey. While individual experiences vary, the consistent feedback points to a high level of patient satisfaction and successful outcomes.

Where Is Dr. Figueroa’s Clinic Located and What Are the Service Areas?

Located in Toronto’s North York region, Dr. Figueroa’s clinic provides modern vein care to the surrounding communities with advanced facilities and same-day ultrasound mapping. Our convenient location makes us accessible to patients from across the Greater Toronto Area and beyond, seeking expert care for their venous conditions. We are committed to offering state-of-the-art treatments in a comfortable and professional setting.

Living with Healthy Veins Post-Venaseal: Long-Term Wellness

Undergoing Venaseal treatment is a significant step towards improving your vein health and overall well-being. However, maintaining healthy veins is an ongoing process that extends beyond the procedure itself. Dr. Figueroa emphasizes a holistic approach to long-term wellness, encouraging patients to adopt lifestyle habits that support vascular health.

Lifestyle Recommendations for Optimal Vein Health:

• Regular Exercise: Engaging in activities like walking, cycling, or swimming helps strengthen calf muscles, which are crucial for pumping blood back to the heart. Aim for at least 30 minutes of moderate exercise most days of the week.

• Maintain a Healthy Weight: Excess weight puts additional pressure on your leg veins, exacerbating venous insufficiency. Achieving and maintaining a healthy BMI can significantly reduce the strain on your venous system.

• Elevate Your Legs: Whenever possible, elevate your legs above heart level for 15-30 minutes, especially after prolonged standing or sitting. This helps reduce swelling and promotes blood flow.

• Avoid Prolonged Standing or Sitting: If your job requires long periods of immobility, take frequent breaks to walk around, stretch, or perform simple leg exercises to keep blood circulating.

• Stay Hydrated and Eat a Balanced Diet: A diet rich in fiber, fruits, and vegetables can prevent constipation, which can increase abdominal pressure and impact vein health. Adequate hydration supports overall circulatory function.

• Consider Compression Stockings (if advised): While Venaseal often eliminates the need for post-procedure compression, some individuals may benefit from wearing them for ongoing support, especially if they have a predisposition to developing new varicose veins or for managing other venous symptoms.

Regular follow-up appointments with Dr. Figueroa are also vital to monitor your vein health and address any new concerns. While Venaseal effectively treats existing diseased veins, it does not prevent new ones from forming in the future. By adhering to these lifestyle recommendations and maintaining open communication with your healthcare provider, you can significantly contribute to the long-term success of your treatment and enjoy lasting relief from venous symptoms.

Frequently Asked Questions (FAQ) About Venaseal

Is the Venaseal procedure painful?

Most patients report minimal to no pain during the Venaseal procedure. Only a small amount of local anesthesia is used at the catheter insertion site. You might feel a slight pressure or tugging sensation, but significant pain is rare.

How long does the recovery take?

Recovery is typically very quick. Most patients can resume normal activities, including light exercise, immediately after the procedure. Strenuous activities should be avoided for about a week, as advised by Dr. Figueroa.

Will the glue stay in my body forever? Is it safe?

Yes, the medical-grade cyanoacrylate adhesive remains in the vein permanently. It is biocompatible and designed to be safely absorbed by the body over time, becoming a harmless, inert material. It has been extensively tested and approved by regulatory bodies like the FDA and Health Canada for medical use.

Can varicose veins come back after Venaseal?

The treated vein is permanently closed. However, new varicose veins can develop in other veins that were not treated, especially if you have a genetic predisposition or continue with lifestyle factors that contribute to venous insufficiency. Regular follow-ups and lifestyle modifications can help manage this.

Do I need to wear compression stockings after Venaseal?

In many cases, compression stockings are not required after Venaseal, which is a significant advantage over other vein treatments. However, Dr. Figueroa will assess your individual needs and may recommend them in specific situations.

How soon will I see results?

Many patients experience immediate relief from symptoms like aching, heaviness, and swelling. Visible varicose veins may take a few weeks to months to diminish as the body reabsorbs the treated vein.

Disclaimer: This article is for educational purposes only and does not substitute medical evaluation or treatment. Always consult a licensed healthcare provider for personal medical concerns. ² Morrison, N., Gibson, K., McEnroe, S., Goldman, M., King, T., Weiss, R., & Cher, D. (2017). Five-Year Extension Study of the VenaSeal System for the Treatment of Saphenous Vein Incompetence. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 5(3), 321–330. https://doi.org/10.1016/j.jvsv.2016.10.075