Endovenous Treatment for Venous Leg Ulcers

THERMAL ABLATION
A PROVEN SOLUTION FOR PATIENTS WITH LOWER EXTREMITY ULCERS

In addition to standard compression therapy, 2014 SVS/AVF venous leg ulcer guidelines mention ablation to prevent recurrence and improve ulcer healing.

  • Ablation uses controlled heat to close off the abnormal vein and is a standard of care for patients with venous leg ulcers.1
  • Ablation is minimally invasive and is not an open surgical procedure, eliminating the need for surgery and allowing patients to quickly resume normal activity.2

Clinical evidence demonstrates a significant change in ulcer size and healing rate from pre-to post-ablation.

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Venous Disease Treatment Options

The ClosureFastTM Procedure and VenaSealTM Closure System

The ClosureFastTM procedure uses radiofrequency ablation to precisely and effectively treat patients suffering from chronic venous insufficiency (CVI).3  Five-year trial results demonstrated a 91.9% occlusion rate, and a 94.9% reflux free rate with the ClosureFastTM catheter.3,4*

A Clinical Solution - generator

The ClosureRFS™ Endovenous Radiofrequency Ablation Stylet is the only intravascular ablation device specifically intended for the treatment of incompetent perforator and tributary veins.  This minimally invasive outpatient procedure leaves minimal scarring at the puncture site and can be either the primary treatment or an adjunct treatment using the ClosureFast™ catheter.

RFS-1

The VenaSealTM closure system uses a proprietary medical adhesive to treat symptomatic venous reflux.  It delivers improved patient comfort and rapid return to normal activities for patients with venous reflux disease.5-8**  The VenaSealTM closure system is minimally invasive and catheter-based.  As such, it may contain potential risks.  Click here to understand more about these potential risks.

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To learn more about the ClosureFastTM procedure or the VenaSealTM closure system, visit our Therapies page.

To learn more and connect with a vein specialist, visit Find a Doctor.

References

1. Kanth A, Khan S, Gasparis A, Labropoulos N, et al. The distribution and extent of reflux and obstruction in patients with active venous ulceration. Phlebology 2015; 30(5): 350-6.

2. Sufian S, Lakhanpal S, Marquez J, et al. Superficial vein ablation for the treatment of primary chronic venous ulcers. Phlebology 2011; 26: 301-6.

3. Proebstle TM, Alm BJ, Gockeritz O, et al. Five-year results from the prospective European multicentre cohort study on radiofrequency segmental thermal ablation for incompetent great saphenous veins. British Journal of Surgery. 2015; 102:212-8.

4. Proebstle T, Alm J, Gockeritz O, et al. Three year European follow-up endovenous radiofrequency theraml ablation of the great saphenous vein with or without treatment of calf variscosities. J Vasc Surg. 2011; 54(1)146-52.

5. Morrison N, Gibson K, McEnroe S, Goldman M, King T, Weiss R, Cher D, Jones A. Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous veins (VeClose). Journal of Vascular Surgery.

6. Almeida Jl, Kaufman J, Goekeritz O, et al. Radiofrequency Endovenous ClosureFAST versus Laser Ablation for the Treatment of Great Saphenous Reflux: A Multicenter, Single-Blinded, Randomized Study (Recovery Study). JVIR June 2009.

7. Proebstle TM, Alm J, Dimitri S, et al. The European multicenter cohort study on cyanoacrylate embolization of refluxing great saphenous veins. J Vasc Surg Venous and Lymphat Disord.

8. Morrison N, Gibson K, McEnroe S, et al. Randomized trial comparing great cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous veins (VeClose). J Vasc Surg.

*For 7 cm RF catheter

**No multiple needle sticks, no compression stockings necessary. Some patients may benefit form the use of compression stockings post-procedure.