Varicose Veins

The venous system is made up of a network of veins which includes:

  • Superficial veins � veins located close to the surface of the skin.
  • Deep veins located in the leg.
  • Perforator veins � veins that connect the superficial veins to the deep veins.

What is Varicose Reflux Disease?

Healthy leg veins contain valves that open and close to assist the return of blood to the heart. Venous Reflux Disease develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. As a result, veins valves do not close properly, leading to symptoms like

  • Varicose Veins
  • Pains
  • Swollen limbs
  • Leg heaviness and fatigue
  • Skin changes and skin ulcers

here are may also be small spider veins and/or the more dramatically enlarged and bulging varicose veins. Many may have these symptoms without any visible signs.

Who is most likely to get Varicose reflux disease?

Many factors contribute to the presence of venous reflux disease, which include:

  • Older age
  • Family history
  • Multiple pregnancies
  • Obesity
  • Occupation which involves standing for long hours


Diagnosis is based on a combination of symptoms, a physical exam and, most important, an ultrasound (sound wave) test of the deep and superficial veins, which will determine if superficial venous reflux is present in your leg(s). This is a non-invasive test that can be quickly performed in the office.

Varicose closure procedure

The closure procedure is performed on an outpatient basis. using an ultrasound , the physician will position the closure catheter in the diseased vein through a small opening in the skin. The tiny catheter powered by Radio-Frequency (RF) energy delivers heat to the vein wall. As the thermal energy is delivered, the vein wall shrinks and the vein is sealed. Once the diseased vein is closed, the blood then naturally re-routes to other healthy vein.

Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. The physician may encourage you to walk, and to refrain from extended standing and strenuous activity for a period if time. Patients who undergo the closure procedure typically resume normal activities within a day.

Procedural Highlights

The highlights of the closure procedure include:

  • Outpatient procedure
  • Local or general anesthesia
  • Minimal invasion
  • Relief of symptoms
  • Good cosmic outcome with minimal no scarring, bruising or swelling

What else should I know?

  • As with any medical procedure, the closure procedure is not suitable for all people and there are associated risks and considerations. You should consult your physician to receive more information.
  • The closure system is intended for endovascular coagulation if blood vessels in patients with superficial venous reflux.
  • Contraindicated in patients with thrombus in the affected vein segment.
  • Potential complications include, but are not limited to the following: vessel perforation, thrombosis, pulmonary embolism, phlebitis, hematoma, infection, paresthesia, skin burns.
  • Treatment of veins located very closed to the skin surface may result in skin burn.