VenaSeal treatment: a comprehensive introduction and guide

History and development of VenaSeal

VenaSeal was developed in response to the growing demand for gentler and more patient-friendly treatment options for venous disorders.
Traditional methods of treating varicose veins, such as vein stripping or thermal ablation, have proven their effectiveness, but come with disadvantages such as longer recovery times, post-operative pain and the risk of scarring.

VenaSeal, on the other hand, offers an alternative solution based on a biocompatible adhesive that was originally used in other medical fields, such as heart surgery.
The VenaSeal method was first clinically tested in the early 2000s, received CE certification in 2011 and was approved by the FDA (Food and Drug Administration) in the USA in 2014.
It has proven to be one of the most effective methods with the fewest complications in several randomized, prospective studies and has since gained worldwide recognition as an effective and safe method for treating varicose veins.

Why VenaSeal at the VenaZiel Vein Center Berlin?

The VenaZiel Venenzentrum Berlin is a certified vein competence center and is proud to be one of the leading centers in Germany and Europe to offer VenaSeal.
According to Medtronic, the manufacturer of the VenaSeal treatment, VenaZiel Venenzentrum Berlin is one of the world’s largest users of VenaSeal.
Our specialized vascular surgeons, surgeons and phlebologists have extensive experience in the application of this technique and use the latest technology to offer our patients the best possible results.
Our clinic specializes in venous disease and offers customized treatment plans tailored to the individual needs of our patients.
By combining expertise, modern equipment and a patient-centered approach, we guarantee optimal care and an improvement in your quality of life.

Advantages of the VenaSeal treatment

• Long-term effectiveness and safety

A major advantage of VenaSeal is its long-term effectiveness.
Clinical studies show that the closure of the treated vein is permanent and that the treated veins remain closed even after years.
This not only reduces the risk of varicose veins recurring, but also provides lasting symptomatic relief.
In addition, VenaSeal is a safe procedure with a low rate of side effects and complications, making it an attractive option for patients looking for a safe and effective treatment.

• Minimal invasiveness

Compared to conventional surgical procedures such as vein stripping, VenaSeal is much less invasive.
No large incisions are required, which significantly reduces the risk of scarring and infection.
The treatment is performed without local anesthesia and does not require general anesthesia, which also makes it attractive for older patients or patients with health problems.

• Comfort and convenience

Another major advantage of VenaSeal is the comfort for the patient.
After treatment, it is not necessary to wear compression stockings, which are often required for weeks with other methods.
This means considerable relief in everyday life and a faster return to normal activities.

• Immediate results and fast recovery

Many patients report that they notice an improvement in their symptoms immediately after treatment.
Recovery time is minimal and most patients can return to their normal activities the same day.
This is a great benefit for working professionals or people with an active lifestyle.

• Less postoperative discomfort

As VenaSeal does not use thermal energy, post-operative discomfort, such as pain, bruising and swelling, is significantly less than with thermal ablations.
This contributes to a faster and more comfortable recovery phase.

How VenaSeal works: a detailed process overview

• The biological medical adhesive

At the heart of the VenaSeal treatment is a specially developed medical adhesive known as cyanoacrylate.
This adhesive is biocompatible and has been used safely in various medical fields for decades.
Once injected into the vein, the adhesive reacts with the blood and tissue proteins, resulting in immediate adhesion of the vein walls.
This seals the vein and prevents the backflow of blood, which leads to an improvement in venous circulation.

• Preparation of the vein

The first step in VenaSeal treatment is to precisely locate the diseased vein using an ultrasound device.
This enables precise placement of the catheter and targeted treatment.
Ultrasound plays a crucial role in treatment planning as it provides a clear visualization of the vein structure.

• Catheterization and dispensing of the adhesive

After locating the vein, a thin catheter is inserted into the vein.
The adhesive is gradually injected into the vein through this catheter while the doctor slowly withdraws the catheter.
This ensures that the entire diseased vein is sealed evenly.
The entire process is monitored by ultrasound to ensure accurate placement and the success of the treatment.

• Closure and completion of treatment

Once the adhesive has been fully injected and the vein is sealed, the catheter is removed.
The puncture site is covered with a small bandage and the patient can usually go home immediately.
No stitches are required, which further improves comfort and healing.

Candidates for the VenaSeal treatment

Who is the ideal candidate?

VenaSeal is an excellent choice for many patients suffering from symptomatic varicose veins.
It is particularly suitable for patients who:

• have pain, swelling or cramps in the legs due to venous insufficiency.
• Chronic venous insufficiency with skin changes or venous ulcers.
• Have visible, cosmetically disturbing varicose veins.
• Prefer a minimally invasive treatment without long recovery times. – Do not want to wear compression stockings after the treatment.

Special patient groups

In certain patient groups, such as older people or patients with several pre-existing conditions, an individual risk assessment should be carried out.
In many cases, however, VenaSeal can also be performed safely in these patients, provided there are no contraindications.
There are no data available for the treatment of pregnant women with VenaSeal, therefore we recommend refraining from VenaSeal treatment during pregnancy.

Preparation for the VenaSeal treatment

Necessary examinations and tests

Before the VenaSeal treatment is carried out, some important preliminary examinations are required:

• Ultrasound examination: This is the most important diagnostic measure to assess the anatomy of the veins and the severity of the venous insufficiency.
• Medical history: The doctor will take a detailed medical history to ensure that there are no contraindications.

Medication preparation

It is important to inform your doctor of any medication you are taking, although it is not necessary to stop taking medication such as blood thinners.

Practical preparations

• Wear comfortable clothing: On the day of treatment, patients should wear comfortable, loose-fitting clothing that is easy to put on and take off. – Organize an escort: Although most patients can go home straight after treatment, it can be helpful to have a companion with you, especially if the treatment is performed on both legs.

Mental preparation and expectations

It is important to go into the VenaSeal treatment with realistic expectations.
The doctor will explain the procedure, the expected results and possible side effects in detail beforehand.
It can also be helpful to learn relaxation techniques in advance to reduce any anxiety or nervousness before the procedure.

Procedure of the VenaSeal procedure

Step-by-step instructions

1. Arrival at the clinic: The patient arrives at the clinic and is taken to a treatment room.
   The procedure is briefly explained again and any final questions are answered.
2. Preparation of the vein: The vein to be treated is marked using ultrasound to ensure precise placement of the catheter.
3. Administration of midazolam (Dormicum): A low dose (usually 2-3 mg) is administered while monitoring vital signs to ensure relaxation during the procedure.
4. No local anesthesia: As a rule, no local anesthesia is administered.
5. Insertion of the catheter: The catheter is inserted into the vein and advanced to the desired location under ultrasound guidance.
6. Injection of the adhesive: The medical adhesive is injected through the catheter as it is slowly withdrawn.
   This ensures an even closure of the vein.
7. Removal of the catheter and closure: After the injection, the catheter is removed and the injection site is covered with a bandage.
   The patient can usually go home immediately.

What happens during the procedure?

During the procedure, the patient is usually placed in a comfortable position on a couch.
The doctor and medical team are on hand to perform the procedure and support the patient.
Thanks to the sedatives, most patients only feel a slight sensation of pressure or pulling, but no pain.
The procedure is continuously monitored with ultrasound to ensure accurate placement of the catheter and correct delivery of the adhesive.

Time required and aftercare

The entire procedure usually takes less than 45 minutes.
Once the treatment is complete, the patient is monitored for a short time before being discharged.
It is recommended that you avoid strenuous activities and take it easy for the first few hours after the procedure.

Recovery and aftercare after VenaSeal

• Immediate aftercare

After treatment, patients can usually resume their normal daily activities immediately.
However, it is recommended to avoid physical exertion for the first 24 hours.
The treated area may be slightly swollen or tender, but this usually disappears within a few days.

• Long-term aftercare

It is advisable to arrange a follow-up appointment with the treating phlebologist the day after the procedure to check the success of the treatment and ensure that no complications have arisen.
In some cases, an ultrasound check is performed to confirm the closure of the vein.

• Dealing with possible complaints

If discomfort such as pain, swelling or bruising occurs after the procedure, this can usually be treated with over-the-counter painkillers and cooling.

Success rates and long-term results of VenaSeal

• Study results and statistics

Numerous clinical studies have confirmed the effectiveness of VenaSeal.
In one of the largest studies, the VeClose study, over 95% of treated veins were successfully closed and patients reported a significant improvement in their symptoms.
The study also showed that VenaSeal offers a lower recurrence rate and faster recovery compared to other methods.

• Patient reports and experiences

Many patients report that they notice an improvement in their symptoms immediately after the VenaSeal treatment.
This includes not only a reduction in pain and swelling, but also a significant improvement in cosmetic appearance.
In the long term, most patients report continued freedom from symptoms and a high quality of life.

• Long-term success factors

The long-term success of VenaSeal treatment depends on several factors, including proper patient selection, the experience of the treating physician and adherence to aftercare instructions.
Patients who maintain healthy lifestyle habits after the procedure, such as regular exercise and weight control, tend to have better long-term results.

Comparison of VenaSeal with other treatments

VenaSeal vs. endovenous laser therapy (EVLT)

Endovenous laser therapy (EVLT) is a widely used method of treating varicose veins that uses a laser to close the affected vein.
While EVLT has a high success rate, the treatment can be painful and often requires wearing compression stockings for several weeks.
In comparison, VenaSeal offers a less painful alternative with faster recovery times and without the need for compression stockings.

VenaSeal vs. radiofrequency ablation (RFA)

Radiofrequency ablation (RFA) uses thermal energy to close the affected vein.
Similar to EVLT, the treatment can be painful and requires post-operative compression stockings.
VenaSeal, on the other hand, works without thermal energy, resulting in less post-operative discomfort and a quicker return to normal activities.

VenaSeal vs. vein stripping

Vein stripping is a surgical procedure in which the affected vein is completely removed.
It requires incisions, general anesthesia and a longer recovery time.
In comparison, VenaSeal is much less invasive, requires no incisions or sutures and offers a faster recovery.

VenaSeal vs. sclerotherapy

Sclerotherapy is another minimally invasive method in which a sclerosing agent is injected into the vein to seal it.
While sclerotherapy works well for smaller varicose and spider veins, VenaSeal offers a more effective solution for larger veins and more severe venous insufficiencies.

Risks and side effects of VenaSeal

Possible side effects

Although VenaSeal is considered a safe method, side effects can occur, as with any medical procedure.
However, these are usually mild and temporary.
The most common side effects include

• Slight pain or discomfort at the injection site.
• Swelling or bruising in the treated area.
• Skin discoloration, which usually disappears within a few weeks. – Thrombophlebitis, a slight inflammation of the treated vein, which can occur in rare cases.

Rare complications

Rare but more serious complications can include allergies to the adhesive or blood clots.
However, these are extremely rare and can be treated effectively in most cases.

Safety precautions

To minimize the risk of complications, it is important that the procedure is performed by an experienced phlebologist and that all pre-operative instructions are followed.
Patients should also be informed about possible side effects and know how to recognize and react to them.

Costs of the VenaSeal treatment

• Cost overview

The cost of a VenaSeal treatment can vary depending on the clinic, the leg being treated and the extent of the treatment.
In Germany, prices are generally between 2,000 and 3,500 euros per leg.

• Insurance cover

In most cases, the treatment can be covered by private health insurance, especially if there is a medical necessity.
However, statutory health insurance companies rarely cover the costs of VenaSeal, as the method is a new technology and is often not included in the benefits catalog.
It is advisable to obtain information from the insurance company in advance and, if necessary, apply for coverage.

• Financing options

VenaZiel Venenzentrum Berlin offers financing options or installment payments to make treatment more affordable for patients.
Patients should discuss these options with the clinic in advance to find the best solution for their financial needs.

Testimonials from patients

Success stories

Many patients who have opted for VenaSeal report positive experiences and a significant improvement in their quality of life.
Here are some examples:

• Sabine, 42: “I had suffered from painful varicose veins for years and nothing really helped. The VenaSeal treatment at VenaZiel was an absolute relief. The pain was gone immediately and I was able to go back to work the next day.”
• Markus, 55: “I was skeptical as to whether a minimally invasive procedure would really be enough to solve my severe vein problems. But I am delighted. The procedure was quick and painless, and the result is better than I had hoped for.”
• Julia, 29: “The cosmetic result was very important to me, as I do a lot of sport and like to wear skirts. The VenaSeal treatment has not only made my legs healthier, but also more beautiful.”

Patient evaluation of the VenaSeal treatment

Most patients rate the VenaSeal treatment positively, particularly with regard to the rapid recovery, comfort and aesthetic results.
Many report that they have no regrets about choosing VenaSeal and would recommend the treatment to others with similar problems.

Use of VenaSeal for various venous diseases

Treatment of chronic venous insufficiency

Chronic venous insufficiency is one of the most common indications for VenaSeal treatment.
The condition, which is characterized by impaired blood flow in the legs, can lead to symptoms such as swelling, pain, skin changes and even venous ulcers.
VenaSeal can correct the disturbed blood flow, alleviate the symptoms and prevent the disease from progressing.

VenaSeal for varicosis of the lower extremities

Varicosis, or varicose veins, is the most common application of VenaSeal.
The method is particularly effective for larger varicose veins and offers a lasting solution without the need for invasive surgical procedures.
The quick recovery and lack of post-operative compression stockings make VenaSeal particularly attractive for patients with an active lifestyle.

Use for recurring varicose veins

VenaSeal offers an effective solution for patients who have already undergone one or more treatments for varicose veins and whose vein problems have returned.
The method can also be used in difficult cases where other treatments have failed.

Clinical studies on VenaSeal

Overview of important studies

Several large clinical studies have investigated the efficacy and safety of VenaSeal.
One of the most important is the VeClose study, which compared the VenaSeal method with radiofrequency ablation.
The study showed that VenaSeal is as effective as RFA in terms of vein closure, but with less post-operative discomfort and faster recovery.
Other studies have shown similar results, confirming the method as a safe and effective option for the treatment of varicose veins.

Long-term data and success stories

Long-term data show that the treated veins remain closed even after five years, with a very low recurrence rate.
Patients who participated in these studies reported continued freedom from symptoms and a significant improvement in their quality of life.
These results confirm the effectiveness of VenaSeal as a long-term solution for venous disorders.

Scientific publications and guidelines

VenaSeal has been recognized in numerous scientific publications as an effective method for the treatment of varicose veins.
The method has been included in many international phlebology guidelines in recent years and recommended as one of the preferred options for suitable patients.

Selection of a VenaSeal treatment device

Criteria for choosing the right doctor

Choosing the right doctor is crucial to the success of the VenaSeal treatment.
Here are some important criteria:

• Experience and expertise: The doctor should have extensive experience in phlebology and specifically in the use of VenaSeal.
  Ask about the number of procedures performed and the success rates.
• Equipment of the clinic: The clinic should have the latest technology and modern equipment to ensure accurate diagnosis and treatment. – Patient satisfaction: Read reviews and testimonials from other patients to get an idea of the quality of treatment and services.
• Individual consultation: A reputable doctor will take the time to answer all your questions and create a personalized treatment plan based on your specific needs.

Questions for the doctor

Make sure you ask all your questions during your consultation.
Here are some examples:

• How many VenaSeal treatments have you had?
• What are the risks in my specific situation?
• How likely is it that my varicose veins will return after treatment?
• What aftercare is required and what can I expect after the procedure?

Importance of aftercare

Aftercare is a crucial part of the success of treatment.
A good doctor will provide you with a detailed aftercare plan and ensure that you attend regular check-ups to monitor the success of the treatment and detect any complications at an early stage.

Long-term results of VenaSeal

• Long-term effectiveness and patient satisfaction

Long-term studies show that VenaSeal has a high long-term efficacy.
The treated veins remain permanently closed and patients report lasting freedom from symptoms and a high quality of life.
Patient satisfaction is also high, as the treatment is not only effective, but also comfortable and minimally invasive.

• Recurrence rates and follow-up treatments

The recurrence rate after VenaSeal is very low compared to other treatment methods.
In the few cases in which varicose veins recur, a new treatment can easily be carried out.
However, most patients do not require any further interventions and are symptom-free in the long term.

• Quality of life after treatment

One of the most important measures of the success of varicose vein treatment is the improvement in quality of life.
Many patients report feeling active and energetic again after VenaSeal treatment, without the bothersome symptoms of varicose veins.
The ability to return to a normal lifestyle quickly, without long recovery times, contributes significantly to the positive patient experience.

Frequently asked questions about VenaSeal

• Is VenaSeal painful?

Most patients report that the procedure is painless or involves only minimal discomfort.
Thanks to the sedatives, patients usually only feel a slight sensation of pressure during catheterization.
Post-operative pain is rare and can usually be treated with over-the-counter painkillers.

• How long does the procedure take?

The procedure itself usually takes less than an hour, depending on the extent of the veins to be treated.
Most patients are finished within 30 to 60 minutes and can go straight home.

• When are the results visible?

Many patients notice immediate improvements, particularly a reduction in pain and swelling.
The cosmetic results are usually seen within a few weeks once the vein has been completely closed and resorbed.

• Can I go home straight after the treatment?

Yes, most patients can go home immediately and resume their normal activities.
However, it is recommended to avoid physical exertion for the first 24 hours after the procedure.

• What happens if the VenaSeal treatment is not successful?

In rare cases where treatment is unsuccessful, treatment may be repeated.
Your doctor will discuss possible alternatives and further steps with you.

• Is VenaSeal also suitable for smaller veins?

VenaSeal is best suited for larger veins and severe venous insufficiency.
For smaller veins and spider veins, microfoam treatment or another method may be more suitable.
Your doctor will recommend the best treatment option for your specific situation.

VenaSeal in Berlin

• Availability of treatment in Berlin

Berlin is one of the leading cities in Germany when it comes to advanced medical treatments, and VenaZiel Venenzentrum Berlin is proud to offer VenaSeal as one of the most advanced treatment options for varicose veins.
Our clinic is centrally located and offers patients from Berlin and the surrounding areas convenient, first-class care.

• Why VenaZiel Vein Center Berlin?

The VenaZiel Venenzentrum Berlin specializes in the treatment of venous diseases and offers customized, patient-oriented care.
Our experienced phlebologists and highly qualified medical staff use the latest technology to provide you with the best possible results.
We place great emphasis on in-depth consultations and individualized treatment plans tailored to your specific needs.

• Contact us and make an appointment

If you would like to find out more about VenaSeal or make an appointment for a consultation, please do not hesitate to contact us.
Our friendly team is on hand to answer your questions and arrange an appointment for a detailed consultation.

Innovations in VenaSeal technology

• Current developments and research

VenaSeal technology is constantly evolving, with ongoing research and innovation to make treatment even safer and more effective.
The latest developments focus on improving application methods and refining the adhesive to achieve even more precise and faster results.
Through continuous development, VenaSeal remains one of the most modern and advanced methods in phlebology.

• Future prospects

With advances in minimally invasive surgery and the continuous improvement of technologies such as VenaSeal, the future of varicose vein treatment is becoming increasingly promising.
It is expected that VenaSeal will continue to grow in importance as more and more patients and doctors recognize the benefits of this innovative method.
VenaZiel Venenzentrum Berlin remains at the forefront of these developments, always offering its patients the most modern and effective treatment methods.

• Summary and concluding thoughts

The VenaSeal treatment represents a significant innovation in the treatment of varicose veins.
With its minimally invasive nature, fast recovery and high success rates, it offers patients an attractive alternative to traditional methods.
At VenaZiel Venenzentrum Berlin, we are proud to offer this advanced technology and help our patients improve their quality of life.
If you would like to find out more about the VenaSeal treatment, please do not hesitate to contact us.