VenaSeal Glue Treatment for Varicose Veins in Hyderabad (2026) | Non-Thermal Vein Glue Procedure, Recovery & Success

Feature

VenaSeal Cyanoacrylate Glue Treatment

Procedure Name

VenaSeal Closure System | Cyanoacrylate Vein Glue | Non-Thermal Endovenous Ablation

Treatment Category

Non-thermal endovenous closure — no heat, no radiofrequency, no laser energy

Mechanism

Medical-grade cyanoacrylate adhesive injected inside vein — seals walls together on contact with blood

Heat Required?

No — VenaSeal is the only major endovenous technique that uses NO thermal energy

Tumescent Anaesthesia?

No tumescent required — only 1 small local anaesthetic injection at catheter entry site

Surgical Incision?

No — 2mm needle puncture under ultrasound guidance only

Stitches?

No — puncture seals naturally

Hospital Stay

Same-day discharge — day-care procedure

Walking After?

Immediately — encouraged to walk before leaving the clinic

Return to Work

1-2 days (faster than RFA/EVLT which typically require 1-3 days)

Compression Stockings?

Often shorter duration or not required — a major patient comfort advantage over RFA/EVLT

Technical Closure Rate

95-97% at 1 year on duplex Doppler follow-up

Key Unique Advantage

Minimal injections — most comfortable endovenous procedure for needle-sensitive patients

Available At

Citi Vascular Hospital, KPHB Colony, Road No. 1, Hyderabad — Dr. Shaileshkumar Garge FRCR (UK)

Parameter

VenaSeal (Glue)

RFA or EVLT (Thermal)

How vein is closed

Mechanical adhesion — glue bonds vein walls on contact with blood

Thermal destruction — heat collapses and seals vein wall

Energy Type

None — no heat, no electricity, no light

Radiofrequency (460-500kHz) or laser (810-1470nm)

Anaesthesia Required

Minimal — 1 small injection at access point only

Tumescent — 30-60 small injections along entire vein length

Number of Injections

1 entry-point injection only

Multiple tumescent injections along entire treatment zone

Post-Procedure Bruising

Less — no tumescent fluid distension

More — tumescent infiltration causes bruising

Compression Stockings

Often not required or shorter duration (1 week)

2 weeks typically required

Risk Unique to Technique

Glue hypersensitivity reaction (3-5%)

Nerve irritation from heat (1-5% for RFA/EVLT)

Stage

Phase

What Happens Inside the Vein

Result

1

Catheter Placement

Catheter tip positioned 5cm from the saphenofemoral junction (SFJ) under real-time duplex Doppler guidance

Precise positioning confirmed — no blind steps

2

Glue Injection

0.10mL of cyanoacrylate delivered into vein through catheter trigger mechanism — 3cm per injection

First glue bolus delivered — polymerisation begins on blood contact

3

External Compression

Immediately after each glue injection, the ultrasound probe compresses the vein externally for 30 seconds — holding the walls in contact while glue polymerises

Vein walls bonded together — confirmed on Doppler as no flow

4

Sequential Delivery

Catheter pulled back 3cm — next 0.10mL glue injection + 30 sec compression. Repeated along the entire diseased vein segment

Complete segmental closure from SFJ to below-knee mark

5

Immediate Closure

Each treated segment shows no blood flow on colour Doppler immediately after compression — vein sealed in real time

No waiting — closure confirmed segment by segment during the procedure

6

Fibrosis

Over 4-12 weeks, treated vein gradually fibroses (becomes scar tissue) and shrinks

Vein becomes invisible and is absorbed by body over 6-12 months

No.

Advantage

Clinical Impact for Patient

1

No Tumescent Anaesthesia

Only ONE injection at entry site vs 30-60 tumescent injections for RFA/EVLT. Less pain, less swelling, faster procedure start-to-finish.

2

No Heat Energy

Zero thermal injury risk to surrounding nerves, skin, or tissue. RFA and EVLT carry a 1-5% nerve irritation risk due to heat — VenaSeal eliminates this entirely.

3

Compression Stockings Often Not Required

Most VenaSeal protocols do not require post-procedure compression stockings — or require only 1 week vs 2 weeks for RFA/EVLT. Significant patient comfort advantage.

4

Less Post-Procedure Bruising

No tumescent infiltration means no fluid distension of the leg — bruising is significantly less than after RFA or EVLT. Most patients look and feel almost normal within days.

5

Walk Immediately

Patients are encouraged to walk immediately after VenaSeal and can drive themselves home in most cases. No restriction on gentle activity.

6

Suitable for Tortuous Veins

Unlike RFA catheter which requires a relatively straight vein, the VenaSeal catheter flexes around tortuous (winding) vein segments — making it suitable for complex anatomy.

7

Fastest Return to Work

1-2 days to desk work vs 1-3 days for RFA/EVLT. Patients with time-critical schedules often specifically choose VenaSeal for its minimal disruption.

Clinical Profile

Suitable?

Clinical Rationale

Great Saphenous Vein (GSV) reflux confirmed on Doppler

First-line

VenaSeal achieves 95-97% closure of GSV — equivalent to RFA/EVLT but without heat or tumescent

Small Saphenous Vein (SSV) reflux

Yes

SSV glue closure well documented — catheter approach adjusted for SPJ anatomy

Tortuous or winding saphenous vein

Preferred over RFA

VenaSeal catheter is flexible — passes around curves that rigid RFA catheters cannot navigate

Patient anxious about multiple injections

Yes — best choice

Only 1 entry-point injection vs 30-60 tumescent injections for thermal procedures

Patient cannot wear compression stockings (skin conditions, PAD, occupation)

Preferred

VenaSeal often eliminates the need for post-procedure compression stockings

Bilateral varicose veins (both legs)

Yes — same session

Both legs treated in one visit without the discomfort of bilateral tumescent anaesthesia

Recurrent varicose veins after prior surgery

Yes

Catheter approach avoids re-dissection of prior surgical field — same advantage as RFA

Professional needing earliest possible return to work

Yes

Fastest recovery of all endovenous techniques: 1-2 days to office work

Very large vein (>15mm diameter)

May need larger glue volumes

Feasible but may need higher glue volume per segment — discuss with Dr. Garge at Doppler assessment

Contraindication

Suitability

Reason / Alternative

Known or suspected cyanoacrylate allergy

Absolute contraindication

Cyanoacrylate sensitivity: redness, swelling, or prior reaction to surgical glues (bandage adhesives, skin closure strips) should be disclosed. RFA or EVLT offered instead.

Active Deep Vein Thrombosis (DVT)

Contraindicated

DVT must be fully resolved before any endovenous procedure including VenaSeal

Pregnancy

Contraindicated

All elective varicose vein treatments deferred until at least 3 months post-partum

Severe peripheral arterial disease (ABPI < 0.5)

Contraindicated

Walking requirement post-procedure and compression (if used) contraindicated in severe PAD

Active skin infection over treatment zone

Defer

Treat infection first; VenaSeal can proceed once skin is healed

Very short vein segment or perforator incompetence only

May not suit

VenaSeal best for truncal saphenous reflux; isolated perforator treatment may be better with RFA or UGFS

Thread veins or spider veins only (cosmetic)

Not indicated

VenaSeal treats truncal veins; microsclerotherapy or surface laser for thread veins

When

Preparation Step

Details / Notes

1-2 Weeks Before

Duplex Doppler Ultrasound Vein Mapping

Essential — identifies which veins to treat, maps anatomy, confirms GSV/SSV junction positions, measures vein diameter and tortuosity. Done at Citi Vascular KPHB.

1-2 Weeks Before

Cyanoacrylate Allergy Screening

Declare any known allergy to superglue, acrylic nails, cyanoacrylate wound closure strips, or surgical adhesives. Allergy = contraindication to VenaSeal.

1 Week Before

Medication Review

Blood-thinning medications reviewed per Dr. Garge's advice. VenaSeal does not require extended anticoagulation pause in most cases as no thermal injury occurs.

Day Before

Shave Leg (If Advised)

Shave from ankle to upper thigh on treatment side — facilitates ultrasound probe contact and reduces infection risk at entry puncture site

Day Before

Hydration

Drink adequate water — good hydration facilitates vein access and reduces DVT risk

Day of Procedure

Clothing

Wear loose trousers that can roll above the knee. Unlike RFA/EVLT, compression stockings may not be needed immediately after VenaSeal — confirm with Dr. Garge at consultation.

Day of Procedure

No Fasting Required

Light meal acceptable — VenaSeal is performed under local anaesthesia only. No general anaesthesia fasting protocol needed.

Day of Procedure

Transport

Most patients CAN drive themselves home after VenaSeal as only one small local anaesthetic injection is used and no sedation is required. Confirm with Dr. Garge.

Day of Procedure

Documents

ID, insurance card, Doppler ultrasound report, medication list, allergy history — particularly any adhesive or cyanoacrylate allergy

1

Pre-Procedure Doppler Marking — The Roadmap

With the patient standing, Dr. Garge performs duplex Doppler ultrasound to mark the diseased saphenous vein course on the skin, confirm the saphenofemoral junction (SFJ) or saphenopopliteal junction (SPJ) position, identify the treatment start and end points, and verify there are no anatomical surprises that would change the planned approach. The entire treatment plan is confirmed before the patient lies down.

2

Positioning and Skin Preparation

Patient lies comfortably on the treatment table — slight head-down (Trendelenburg) position to reduce vein diameter and improve catheter access. Leg cleaned with antiseptic solution. Sterile draping applied. Unlike RFA/EVLT where the entire leg is prepped for tumescent injections across the full vein length, VenaSeal preparation focuses mainly on the catheter entry zone.

3

Single Entry-Site Local Anaesthetic Injection

One small injection of local anaesthetic (lidocaine 1%) is made at the catheter entry point — typically just below the knee for GSV treatment, or behind the knee for SSV treatment. This is the ONLY anaesthetic injection needed for VenaSeal — unlike RFA/EVLT where 30-60 tumescent injections are made along the entire vein length. Most patients describe this as a brief sting — the most uncomfortable moment of the entire VenaSeal procedure.

4

Ultrasound-Guided Catheter Insertion + Positioning

Under continuous duplex Doppler guidance, a 19G needle accesses the GSV at the entry point. A guidewire is advanced, and the VenaSeal catheter is introduced through a short sheath. The catheter is advanced to exactly 5cm below the saphenofemoral junction — confirmed on live ultrasound. Correct positioning is critical: starting too close to the junction risks inadvertent SFJ occlusion.

5

Sequential Cyanoacrylate Glue Delivery

The VenaSeal dispenser delivers 0.10mL of cyanoacrylate per injection. After each delivery, Dr. Garge compresses the vein externally using the ultrasound probe for 30 seconds — holding the walls in contact while the glue polymerises. The catheter is then pulled back 3cm and the next injection is delivered. This segmental process continues down the entire diseased vein. Colour Doppler confirms each segment is closed before proceeding.

6

Tributary Vein Treatment (If Required)

After the main truncal vein is sealed, visible varicose clusters in the thigh or calf may be treated in the same session using ultrasound-guided foam sclerotherapy (UGFS) or micro-phlebectomy. This one-stop approach eliminates both the feeding reflux vein and the visible surface varicosities in a single visit.

7

Final Doppler Confirmation, Dressing and Discharge

A final duplex Doppler confirms complete closure of the treated saphenous vein — no colour flow visible in the ablated segment. A small adhesive dressing is applied at the entry point. If compression stockings are recommended in your case, they are fitted and worn home. Patient is encouraged to walk 30 minutes before leaving. Most VenaSeal patients are discharged within 1.5-2 hours of arrival.

Timeframe

What to Expect

Dos and Donts

Immediately After

Mild tenderness at catheter entry site. Leg feels normal — no tumescent swelling. No bruising from injections. Walk 30 min before leaving clinic.

Walk 30 min minimum. Drive home if no sedation used (confirm with Dr. Garge). Compression stockings if prescribed.

Day 0-2 (First 48 Hours)

Some tightness along vein course as glue polymerises. Much less bruising and swelling than RFA/EVLT. Mild soreness at entry puncture.

Walk daily 30+ min. Paracetamol for any ache. If stockings prescribed, wear them. No hot bath or sauna.

Days 1-2

Most patients return to desk work. Significantly less discomfort than post-RFA or post-EVLT. Driving usually possible from Day 1-2.

Return to office work. Light activities normal. No heavy lifting. No gym yet.

Days 3-7

Visible varicosities begin reducing. Treated vein palpable as a cord in some patients — normal fibrosing vein. Swelling minimal.

Normal daily activities. Remove stockings after 1 week if prescribed (shorter than RFA). Report any unusual redness.

Week 1-2

Return to physical work and moderate exercise. Treated vein fibroses progressively. Most patients feel normal.

Gym and cycling from Week 1-2 (earlier than RFA). Attend 1-week follow-up Doppler appointment.

Month 1-3

Visible surface varicosities progressively fade as the feeding vein is occluded. 1-month Doppler confirms maintained closure.

1-month Doppler follow-up. 3-month review if varicosities persistent. Healthy BMI and walking protect against recurrence.

Inflammatory Reaction (5-10%)

Some patients develop phlebitis (vein inflammation) along the treated segment at 2-4 weeks — red, tender cord along vein. NOT DVT.

NSAIDs + warm compress. Report to Dr. Garge for assessment. Usually resolves within 2-4 weeks.

WARNING — Contact Citi Vascular Immediately

Sudden significant leg swelling | Hot red painful calf | Fever > 38 deg C | Shortness of breath

May indicate DVT or PE — call +91-73375 83901 immediately or go to emergency

Clinical Outcome

Data / Rate

Source / Notes

Technical closure rate at 1 year

95-97%

Duplex Doppler confirmed GSV closure — e-VCLOSE RCT + multiple cohort studies

Technical closure rate at 3 years

90-94%

Long-term VenaSeal registry data — comparable to RFA/EVLT

Symptom improvement (pain, heaviness, QoL)

85-90%

VCSS score improvement — similar to RFA and EVLT at 1 year

Patient satisfaction

Very high (> 90%)

Consistently high satisfaction attributed to minimal pain and rapid recovery

VenaSeal vs RFA — closure equivalence

No significant difference

e-VCLOSE RCT: VenaSeal non-inferior to RFA at 1 year — equivalent efficacy

Post-procedure pain scores

Lower than RFA and EVLT

Multiple comparative studies consistently show VenaSeal produces less post-procedure pain than thermal techniques

DVT rate

< 1%

Comparable to RFA/EVLT — no increase in DVT with non-thermal technique

Phlebitis (vein inflammation) rate

5-10% at 2-4 weeks

Higher than RFA (which has less because tumescent protects vein wall). Mild, self-limiting.

Nerve damage rate

< 0.5%

Significantly LOWER than RFA/EVLT which carry 1-5% nerve irritation risk from heat

Category

Risk / Side Effect

Frequency

Management

Very Common (>20%)

Tenderness along treated vein

Almost all patients

Paracetamol/ibuprofen. Resolves in 1-2 weeks. Less than post-RFA.

Common (5-20%)

Phlebitis — vein inflammation at 2-4 weeks

5-10%

NSAIDs + warm compress + walking. Self-limiting 2-6 weeks. Higher rate than RFA.

Common (3-5%)

Glue hypersensitivity reaction

3-5%

Antihistamines + topical steroid for mild reactions. Rare systemic reactions managed with adrenaline.

Uncommon (1-5%)

Skin bruising at catheter entry site

10-20%

Self-resolving. Significantly less than post-RFA/EVLT where tumescent causes extensive bruising.

Uncommon (1-5%)

Palpable cord along treated vein

Common — most patients

Normal fibrosing vein. Resolves over 3-6 months as vein is absorbed by body.

Rare (< 1%)

Deep Vein Thrombosis (DVT)

< 1%

Walking immediately post-procedure. Compression if prescribed. Screened at 1-week Doppler.

Rare (< 1%)

Nerve damage

< 0.5% — lower than RFA/EVLT

No heat used — no thermal nerve injury. Nerve damage rare without tumescent heat.

Rare (< 1%)

Infection at entry site

< 0.5%

Sterile technique throughout. Antibiotic course if infection confirmed.

Feature

VenaSeal (Glue)

RFA

EVLT (Laser)

Surgery

Mechanism

Glue adhesion

RF heat 85C

Laser heat

Vein removal

Heat / Energy

No heat

Radiofrequency

Laser light

No energy

Anaesthesia

1 injection

30-60 tumescent

30-60 tumescent

General/spinal

Hospital Stay

Same day

Same day

Same day

1-2 days

Return to Work

1-2 days

1-3 days

1-3 days

2-6 weeks

Bruising

Minimal

Moderate

Moderate-more

Significant

Compression Stocking

Often not needed / 1 wk

2 weeks

2 weeks

Varies

Closure Rate 1yr

95-97%

95-98%

95-98%

95-98%

Nerve Injury Risk

< 0.5% (no heat)

1-5% (heat risk)

1-5% (heat risk)

1-3%

Tortuous Veins

Well suited

Less suitable

Better suited

Any

Unique Risk

Glue allergy 3-5%

Thermal nerve injury

More bruising

Surgical risks

Best For

Needle-anxious | fast recovery | tortuous veins

Standard GSV | good anatomy

Small veins | tortuous

Complex anatomy | perforators

Not sure which technique suits you?

Duplex Doppler at Citi Vascular determines VenaSeal, RFA, or EVLT for YOUR vein.

Call +91-73375 83901

Glue allergy concern?

We screen every patient. RFA or EVLT offered as equally effective alternatives.

WhatsApp for Quick Reply

Differentiator

Specific Evidence

What This Means for You

Triple International Credentials

FRCR (Royal College of Radiologists, UK) + FNVIR (CMC Vellore) + EBIR (European Board of IR, Spain) + Fellowship (USA)

Three of the highest international certifications in interventional radiology — VenaSeal training included

All 4 Endovenous Techniques Available

VenaSeal | RFA | EVLT | MOCA — all in-house. No need for referral to different centres for different techniques.

Technique selected based on YOUR anatomy — not limited to what one clinic offers

Technique Selection Expertise

Dr. Garge decides VenaSeal vs RFA vs EVLT based on vein diameter, tortuosity, patient preference, allergy status, and Doppler findings

You receive the technique with the best clinical fit — not a one-size-fits-all approach

Real-Time Doppler Guidance

Every VenaSeal procedure performed under continuous duplex ultrasound guidance — catheter position, glue delivery, and closure all confirmed in real time

No blind steps — evidence-based precision at every stage of the procedure

15,000+ Procedures Performed

Total minimally invasive vascular interventions at Citi Vascular Hospital, KPHB

High volume: refined technique, precise glue delivery, optimal closure rates

One-Stop Treatment

VenaSeal + phlebectomy + foam sclerotherapy for varicose clusters all in same session when clinically appropriate

Maximum treatment per visit — no multiple return procedures

Transparent All-Inclusive Pricing

Complete cost quoted before procedure — consumables, glue cartridges, follow-up Doppler all included

No billing surprises — full financial clarity before commitment

What We Offer

The Specifics

Why It Matters

All Endovenous Techniques In One Centre

VenaSeal + RFA + EVLT + MOCA + UGFS + Phlebectomy — all performed on-site

If Dr. Garge determines VenaSeal is not the right technique for your vein, the best alternative is immediately available

VenaSeal Glue Stock + Certified Equipment

Medtronic VenaSeal Closure System with certified glue cartridges and proprietary dispenser — not substituted

You receive the original, regulated, FDA-approved cyanoacrylate system — not an imitation

On-Site Duplex Doppler Ultrasound

Pre-procedure vein mapping and real-time procedure guidance in the same facility

One-stop: Doppler + VenaSeal in the same visit — no separate radiology appointment

Allergy Screening Protocol

Standard pre-VenaSeal cyanoacrylate allergy history taken at every initial consultation — before booking procedure

Patient safety first: allergy discovered at consultation, not at procedure day

Same-Day Discharge

Standard for all VenaSeal procedures — 1.5-2.5 hours total clinic time including pre-procedure assessment

Minimal disruption to work and family

Insurance and Cashless Facility

All major TPAs, corporate mediclaim, government schemes — pre-authorisation documentation by Citi Vascular team

We handle the paperwork so you focus on recovery

1-Week Follow-Up Doppler

Mandatory post-VenaSeal duplex Doppler at 1 week confirms closure and screens for DVT/EHIT

Evidence-based safety follow-up included — not an optional extra

Stage

Rahul's Experience

Clinical Details

Presentation

Left leg heaviness and aching for 3 years | Visible varicose veins in calf | Worsening with desk work and long flights

CEAP C2-C3 | GSV reflux suspected clinically | Referred for Doppler evaluation

Doppler Evaluation

Dr. Garge performed duplex Doppler at Citi Vascular KPHB | Left GSV reflux 4.8 seconds on Valsalva | Vein diameter 7mm | Tortuous mid-thigh segment noted

GSV incompetence confirmed | Tortuous mid-section made VenaSeal preferred over RFA catheter

Consultation

Rahul had significant needle anxiety — relieved to learn VenaSeal requires only 1 entry injection vs 40+ tumescent injections for RFA

Cyanoacrylate allergy screening negative | VenaSeal scheduled | No compression stocking required post-procedure

Procedure Day

Arrived 10 AM | 1 small injection | Procedure 35 minutes | Walked out by 11:45 AM | Drove himself home

GSV ablated 38cm | Final Doppler confirmed complete closure | No tumescent swelling in leg

Recovery

Day 1: mild cord sensation — no bruising, no stocking | Day 2: back at desk work | No compression stocking needed throughout

Significant recovery advantage vs RFA patients he had spoken to who had extensive bruising and 2-week stockings

1-Month Review

Varicose clusters 80% reduced | Leg heaviness completely resolved | 1-week Doppler confirmed GSV closed

VCSS score improved from 5 to 1 | Patient satisfaction: excellent | No phlebitis reaction

Credential

Detail

Full Name

Dr. Shaileshkumar Garge

Qualifications

MBBS | MD (Mumbai) | DNB (Delhi) | FRCR (UK) | FNVIR (CMC Vellore) | EBIR (Spain/Europe) | Fellowship (USA)

Role

Director and Chief Vascular Physician | Senior Consultant Vascular and Interventional Radiologist

Hospital

Citi Vascular Hospital, KPHB Colony, Road No. 1, Hyderabad, Telangana 500072

Varicose Vein Techniques

VenaSeal (cyanoacrylate glue) | RFA (ClosureFast) | EVLT (810nm/1470nm laser) | MOCA | Ultrasound-guided foam sclerotherapy | Micro-phlebectomy

Experience

12+ years | 15,000+ minimally invasive vascular procedures across Hyderabad and Telangana

Technology

Dedicated Vascular Suite | Duplex Doppler | Medtronic VenaSeal System | RF Generator | Laser Unit | Fluoroscopy

Other Specialisations

UFE/UAE, Varicocele Embolization, PAD, DVT, Pelvic Congestion Syndrome, Vascular Malformations

Hospital

Contact

Hours

Citi Vascular Hospital

+91-73375 83901

KPHB Colony, Road No. 1, Hyderabad, Telangana 500072 | Mon-Sat 9AM-6PM

Online Booking

citivascularcentre.com

WhatsApp + online booking | Same-day Doppler available | Free parking | Insurance assisted