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admin Diagnosis and Treatments

Glue vs Laser vs RFA: Best Varicose Vein Treatment?

Varicose veins are more than a cosmetic issue — they are a medical condition that can cause aching, heaviness, swelling, cramps, skin discolouration, and, in advanced cases, ulcers or blood clots. If left untreated, the symptoms can worsen, affecting both health and quality of life.

The good news is that modern vein treatments are minimally invasive, safe, and highly effective. At Avis Vascular Centre, we specialise in three advanced options — Medical Glue Closure, Endovenous Laser Ablation (EVLA), and Radiofrequency Ablation (RFA). All three are walk-in/walk-out procedures, but each has its own strengths.

1. Medical Glue Closure – The Needle-and-Done Solution

How it works: Using a thin catheter, a specially formulated medical adhesive is placed inside the diseased vein. The glue seals the vein instantly, and blood flow naturally reroutes to healthier veins.

Why choose it:

  • No heat, no multiple injections
  • Usually no need for compression stockings
  • Resume normal activity almost immediately
  • Minimal discomfort during and after the procedure

Best for: Patients seeking the least invasive option, especially those sensitive to injections or who cannot wear compression stockings due to lifestyle or skin conditions.

2. Endovenous Laser Ablation (EVLA) – Precision with Proven Results

How it works: A laser fibre is inserted into the affected vein under ultrasound guidance. Laser energy is delivered to heat and seal the vein walls, closing it permanently.

Why choose it:

  • Over 20 years of clinical success worldwide
  • Excellent long-term closure rates above 95%
  • Quick recovery — usually within 24–48 hours
  • Highly precise for targeted treatment

Considerations: Requires local anaesthesia along the vein’s length and typically one week of compression stockings to optimise results.

Best for: Patients with large, straight veins where maximum precision is needed for complete closure.

3. Radiofrequency Ablation (RFA) – Gentle Heat, Lasting Relief

How it works: A fine catheter delivers controlled radiofrequency energy to the vein wall. The heat causes the vein to collapse and seal shut, while surrounding tissues remain protected.

Why choose it:

  • Less post-procedure discomfort than older heat-based methods
  • Procedure time usually under 45 minutes
  • Quick return to normal activities, often the next day

Considerations: Like EVLA, it requires local anaesthesia and short-term compression stockings.

Best for: Patients who want a comfortable thermal treatment with proven long-term results.

Choosing the Right Option

Your ideal treatment depends on the size and shape of your veins, your medical history, and your personal comfort preferences. Glue offers the ultimate convenience with no heat or stockings. Laser is ideal for larger, straighter veins needing precision. RFA provides a gentle heat-based solution with excellent patient comfort.

At Avis Vascular Centre, we use detailed ultrasound vein mapping to select the treatment that best suits you — ensuring safe, effective, and lasting results.

glue closure Non surgical varicose vein treatment
admin Diagnosis and Treatments

Glue Closure: Non-Surgical Varicose Vein Treatment

Varicose veins are a common condition affecting millions worldwide. Characterised by bulging, twisted veins—typically in the legs—they result from faulty valves that allow blood to pool, leading to heaviness, pain, and swelling. While traditional treatments often involved surgery or heat-based procedures, today’s patients can benefit from a modern, non-surgical alternative: glue-based vein closure.

This revolutionary treatment, widely known by its brand name VenaSeal®, uses a medical adhesive to close off problem veins—offering a fast, minimally invasive, and virtually painless option for relief.

What is Glue-Based Closure?

Glue-based closure is a non-thermal, non-tumescent endovenous procedure that treats varicose veins by sealing them shut with a medical-grade adhesive. The body then naturally reroutes blood flow to healthy veins, and the sealed vein is gradually absorbed over time.

The most widely used and FDA-approved system for this technique is VenaSeal®, which uses a specially formulated cyanoacrylate glue — a type of bio-compatible adhesive also used in medical wound closures.

Step-by-Step: How the Procedure Works

  1. Ultrasound Mapping
    The vein specialist begins by using ultrasound imaging to locate the affected vein and plan the precise treatment path.
  2. Catheter Insertion
    A small catheter (a thin, flexible tube) is inserted into the vein through a tiny puncture in the skin. No large incisions or stitches are needed.
  3. Adhesive Delivery
    The medical glue is gently delivered into the vein through the catheter in precise doses. Manual compression is applied at intervals to ensure the vein walls adhere together.
  4. Sealing the Vein
    As the adhesive sets, the vein is sealed shut permanently. The catheter is removed, and a small bandage is applied. That’s it—no general anaesthesia, no surgical recovery.

Why Patients Choose Glue-Based Closure

  • No Heat, No Nerve Damage
    Unlike laser or radiofrequency ablation, this method doesn’t involve heat, eliminating the risk of thermal injury to surrounding nerves or tissues.
  • No Tumescent Anaesthesia Required
    Traditional methods involve multiple injections of local anaesthetic around the vein. Glue closure avoids this altogether, making the experience much more comfortable.
  • No Compression Stockings for Most
    Many patients don’t need to wear compression garments post-procedure—making it especially appealing in warm climates or for busy lifestyles.
  • Minimal Downtime
    Most people walk out of the clinic and return to normal activities the same day.
  • Excellent Cosmetic Results
    With no scarring, bruising, or pigmentation, patients enjoy clear skin and confidence in their appearance.

Who is It For?

Glue-based closure is ideal for individuals with chronic venous insufficiency or visible varicose veins who want a non-surgical, low-risk option. It’s particularly suitable for patients with low pain tolerance, active lifestyles, or concerns about scarring. However, proper ultrasound evaluation and consultation with a vein specialist are essential to determine candidacy.

Conclusion

Glue-based vein closure is a groundbreaking option in the field of varicose vein treatment. With minimal discomfort, no downtime, and lasting results, it’s helping people reclaim their comfort and confidence—without surgery.

If you’re ready to explore a safe, simple, and effective way to treat varicose veins, talk to a certified vein specialist about whether glue-based closure like VenaSeal® is right for you.

Modern Vein Treatments
admin Diagnosis and Treatments

Modern Vein Treatments: The Future of Vascular Care

Endovenous Laser Ablation (EVLA): The Gold Standard

EVLA represents the pinnacle of modern vein treatment technology. This procedure utilises a precise 1470nm wavelength laser that specifically targets water molecules within the vein wall. During the procedure, your physician guides a thin 7Fr catheter through the problematic vein using ultrasound guidance. The laser delivers carefully controlled thermal energy at 70-120°C, effectively sealing the vein shut. The entire process takes just 30-45 minutes and boasts an impressive 98% success rate.

The cost for EVLA in India ranges from ₹45,000 to ₹75,000 per leg, including follow-up care. Many insurance providers now offer coverage for this treatment, recognising its proven effectiveness and long-term benefits. Patients usually require only one treatment session, making it cost-effective compared to repeated surgical interventions.

Radiofrequency Ablation (RFA): Controlled Precision

RFA offers exceptional precision through segmental heating at 120°C using the sophisticated ClosureFast™ catheter. The procedure methodically treats the vein in 20-second cycles, with built-in temperature monitoring ensuring optimal results. Taking 45-60 minutes to complete, RFA achieves a 96% success rate with minimal discomfort.

The treatment costs between ₹40,000 and ₹65,000 per leg in India, making it slightly more affordable than EVLA. Insurance coverage is similar to EVLA, though approximately 5% of patients may require a follow-up session for optimal results.

VenaSeal™: The Latest Innovation

VenaSeal represents the newest advancement in vein treatment. This revolutionary approach uses medical-grade N-butyl-2-cyanoacrylate adhesive delivered through a minimal 5Fr catheter. The adhesive polymerises within 30 seconds of deployment, instantly sealing the vein without requiring tumescent anaesthesia. The entire procedure takes just 20-30 minutes and maintains a 95% success rate.

At ₹75,000 to ₹1,20,000 per leg, VenaSeal commands a premium price point in India. However, patients save on compression stockings (₹2,000-4,000) and enjoy the quickest return to normal activities. Insurance coverage varies, with some providers still considering this cutting-edge treatment as elective.

Sclerotherapy: The Spider Vein Solution

Sclerotherapy excels in treating spider veins and small varicose veins. Your physician injects a specialized solution (either Polidocanol or Sodium Tetradecyl Sulfate) directly into the problematic veins using ultra-fine needles. The solution irritates the vein walls, causing them to collapse and eventually fade away. Each 15-30 minute session targets multiple veins, with a cumulative success rate of 90%.

In India, sclerotherapy costs between ₹15,000-₹25,000 per session, with most patients requiring 3-4 sessions for optimal results. While the per-session cost appears lower, the total investment might reach ₹45,000-₹75,000 for a complete treatment course. Insurance rarely covers cosmetic sclerotherapy.

Traditional Surgery: The Legacy Approach

Traditional vein stripping, while still necessary in some cases, involves general anaesthesia and multiple incisions to physically remove the problematic veins. This 2-3 hour procedure carries an 85% success rate but demands significant recovery time and poses higher risks of complications.

The total cost in India ranges from ₹60,000-₹1,00,000 per leg, including hospital stay, surgery, and anaesthesia costs. While insurance typically covers surgical intervention, the extended recovery period (2-3 weeks) and higher complication rates make it less appealing for most patients.

Hidden Cost Considerations

When calculating total treatment expenses, consider:

  • Pre-procedure investigations: ₹5,000-8,000
  • Compression stockings: ₹2,000-4,000
  • Follow-up visits: ₹500-1,500 per visit
  • Lost workdays: Variable based on profession
  • Travel costs for multiple sessions
  • Post-procedure medications: ₹2,000-3,000

Making Your Choice

While modern treatments may seem more expensive initially, they often prove more economical when considering:

  • Minimal time away from work
  • Lower risk of complications
  • Reduced need for follow-up treatments
  • Better long-term results
  • Fewer additional medical expenses

Contact us today for a personalised consultation to determine which treatment best suits your needs and budget.

Note: Treatment costs may vary based on location, hospital, and specific medical requirements. Please verify insurance coverage individually. Costs are approximate and subject to change.

ultrasound imaging a game changer treatment for varicose veins
admin Diagnosis and Treatments

Ultrasound Imaging A game changer in treatment of Varicose veins

Varicose veins, those bulging, twisted veins often visible just beneath the surface of the skin, are not just a cosmetic concern. They can cause significant discomfort, including aching pain, throbbing, and swelling. For years, treatments for varicose veins were limited and often invasive. However, the advent of ultrasound imaging has revolutionized the way healthcare professionals diagnose and treat this condition, offering patients more effective and less invasive options.

The Role of Ultrasound in Diagnosing Varicose Veins

Ultrasound imaging, specifically duplex ultrasound, has become an essential tool in the diagnosis of varicose veins. Duplex ultrasound combines traditional ultrasound, which uses sound waves to create images of structures within the body, with Doppler ultrasound, which measures the speed and direction of blood flow.

This combination allows doctors to not only see the veins but also assess how well blood is flowing through them. The detailed images and real-time blood flow data provided by duplex ultrasound enable healthcare providers to identify the precise location and extent of vein insufficiency, the underlying cause of varicose veins. This precision is critical for planning effective treatment.

Minimally Invasive Treatments Guided by Ultrasound

Ultrasound imaging has paved the way for several minimally invasive treatments for varicose veins. These procedures are often performed on an outpatient basis and require little to no downtime, making them highly appealing to patients.

1. Endovenous Laser Ablation (EVLA)

Endovenous laser ablation is a popular treatment for varicose veins. During EVLA, a thin laser fiber is inserted into the affected vein under ultrasound guidance. The laser energy heats and seals the vein from the inside, causing it to collapse and eventually be reabsorbed by the body. The ultrasound guidance ensures precise placement of the laser fiber, maximizing treatment efficacy and minimizing complications.

2. Radiofrequency Ablation (RFA)

Similar to EVLA, radiofrequency ablation uses heat to close off varicose veins. Instead of laser energy, RFA employs radiofrequency waves delivered via a catheter inserted into the vein. Ultrasound imaging is used throughout the procedure to guide the catheter and ensure accurate delivery of the treatment. RFA is highly effective and has a low risk of side effects, largely thanks to the precision provided by ultrasound guidance.

3. Ultrasound-Guided Foam Sclerotherapy

Foam sclerotherapy is another minimally invasive option for treating varicose veins. In this procedure, a foam sclerosant (a chemical that irritates and closes the vein) is injected directly into the varicose vein under ultrasound guidance. The foam causes the vein walls to stick together, leading to the vein’s eventual disappearance. Ultrasound ensures the sclerosant is delivered precisely where it is needed, improving the procedure’s success rate and reducing the risk of complications.

The Benefits of Ultrasound-Guided Treatments

The integration of ultrasound imaging into the treatment of varicose veins offers numerous benefits:

  1. Accuracy: Ultrasound allows for precise identification and targeting of problematic veins, ensuring effective treatment.
  2. Safety: Minimally invasive procedures guided by ultrasound have a lower risk of complications compared to traditional surgical methods.
  3. Comfort: Patients experience less pain and a quicker recovery with ultrasound-guided treatments.
  4. Cost-Effectiveness: These treatments often reduce the need for hospital stays and extensive postoperative care, lowering overall healthcare costs.

Future Directions

As technology continues to advance, the role of ultrasound in treating varicose veins is likely to expand. Emerging techniques and improvements in imaging quality promise even greater precision and effectiveness. Additionally, ongoing research into the underlying causes of varicose veins may lead to novel treatments that can be guided by ultrasound.

Ultrasound imaging has significantly improved the diagnosis and treatment of varicose veins, making it possible to offer patients safer, more effective, and less invasive options. With the continued evolution of this technology, the future looks bright for individuals suffering from varicose veins, providing hope for better outcomes and enhanced quality of life.

Incorporating the latest ultrasound techniques into varicose vein treatment protocols not only exemplifies the advancements in medical technology but also underscores the commitment to patient-cantered care. If you’re struggling with varicose veins, consult with a specialist to explore the ultrasound-guided treatment options available to you.