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Fountain Valley, CA 92708
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Varicose Veins and Spider Veins

  Closure®
Procedure
Vein Stripping
& Ligation
Endovenous
Laser (EVL)
Typical Results 48 Hours After Procedure 1 2 1
Proven Advantages over Vein Stripping in Randomized Comparative Trial Quicker return to normal activities10 Less pain, bruising, and discomfort during early recovery10 N/A No randomized comparative trial reported
Absence of Varicose Veins at 12 Months 90% of legs treated 8 85% of legs treated 9 not reported
Return to Normal Activities within 24 Hours 89.1% of patients 4 not reported 69.8% of patients 4
Patient Satisfaction 98% of patients would recommend to a friend 5
10:1 patient satisfaction for Closure over EVL11 11
not reported N/A
Learn more about this procedure Click here for more information about Closure Click here for more information about Closure Click here for more information about Closure

The Closure® Procedure
The VNUS Closure procedure is a minimally invasive treatment alternative to traditional vein stripping surgery for venous reflux. The Closure procedure is an outpatient (day surgery) treatment performed in hospitals, surgical centers and doctor's offices. Local or regional anesthesia is typically used to numb the treatment area. The thin Closure catheter is inserted into the saphenous vein through a small opening, often using only a single needle stick. The catheter delivers radiofrequency (RF) energy to the vein wall in a temperature controlled manner, causing the vessel to heat to 85ºC, collapse, and seal shut as the doctor slowly pulls the catheter from the vein. After the Closure catheter is removed, a bandage is placed over the insertion site and your leg may be wrapped (typically for a day) to aid healing. Following the procedure, your doctor may ask you to walk, wear compression stockings, and to refrain from long periods of standing for a period of time. Recently presented data show that 89% of patients return to normal activities within 24 hours.4 Furthermore, a recent report states the Closure technique "leaves only a needle puncture and has a lower incidence of side affects than surgery, with patients resuming normal activity immediately after the procedure in the vast majority of cases".5 As with any medical procedure, you are encouraged to review risks and complications associated with the procedure by consulting with your doctor. Some common side effects may include temporary tenderness and numbness.

To read what patients have said about the Closure procedure, click here.

  1. Procedures performed at regional ACP Meeting, June 2001.
  2. Data on File - VNUS Medical Technologies, Inc.
  3. Mackay DC, et al. The Early Morbidity of Varicose Vein Surgery, Journal of the Royal Naval Medical Service, 1995; 81: 47-51.
  4. Morrison N. Presented at the Union Internationale de Phlebologie, Rome, September 2001.
  5. Weiss RA, et al. Controlled Radiofrequency Endovenous Occlusion Using a Unique Radiofrequency Catheter Under Duplex Guidance to Eliminate Saphenous Varicose Vein Reflux: A 2-Year Follow-up, Dermatologic Surgery, Jan 2002; 28:1: 38-42
  6. Weiss RA. Comparison of Endovenous Radiofrequency Versus 810 nm Diode Laser Occlusion of Large Veins in an Animal Model, Dermatologic Surgery, Jan 2002; 28:1: 56-61
  7. Proebstle TM, et al. Endovenous Treatment of the Greater Saphenous Vein with a 940 nm Diode Laser: Thrombotic Occlusion after Endoluminal Thermal Damage by Laser Generated Steam Bubbles, J Vasc Surg 2002; 35: 729-736.
  8. Merchant RF, DePalma RG, Kabnick LS. Endovascular obliteration of saphenous reflux: A multicenter study. J Vasc Surg 2002;35:1190-6
  9. Jones L, et al. Neovascularisation is the principal cause of varicose vein recurrence: results of a randomized trial of stripping the long saphenous vein, Eur J Vasc Endovasc Surg, 1996; 12: 442-445
  10. Lurie, F, et al.Prospective randomized study of endovenous radiofrequency obliteration (Closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS Study), J Vasc Surg 2003; 38(2):207-14
  11. Morrison N. Abstract presentation at the American College of Phlebology 16th Annual Congress, Ft. Lauderdale, Florida, November 2002



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