VenaSeal Vein Treatment — Medical Adhesive Closure Without Tumescent Anesthesia
✓ Key Facts — VenaSeal
- Procedure time: 30–45 minutes
- Anesthesia: minimal — one small local injection
- Immediate return to normal activity
- No post-procedure compression stockings required
- FDA and CE approved technology
- Single procedure sufficient in most cases
Written & Reviewed By
Dr. Shimon Aronhime — Interventional Radiologist and Endovascular Surgeon
Trained at Mount Sinai and Columbia University / NYP Hospital, New York
Shamir Medical Center | Israel Vein Center, Lilienblum 17, Tel Aviv
Last reviewed: May 2026
Who Is VenaSeal Best For?
- Patients with needle anxiety or low tolerance for multiple injections
- Patients taking anticoagulants (rivaroxaban, apixaban, warfarin)
- Those who want immediate return to full activity including exercise
- Anyone unable or unwilling to wear compression stockings post-procedure
- Specific anatomical situations where VenaSeal is technically preferred (determined at consultation)
VenaSeal vs RFA: Choosing Between Them
Both are proven, effective treatments. The decision depends on patient factors:
- VenaSeal: greater comfort, no compression stockings, immediate return to activity. Cost: ₪15,000. May be covered by private health insurance.
- RFA: performed at a private hospital (Assuta / Herzliya). Cost via private insurance only — requires tumescent anesthesia and compression stockings.
Treatment Cost
VenaSeal costs ₪15,000. Treatment is performed at the private clinic in Tel Aviv (MyClinic, 17 Lilienblum St) and may be covered by supplemental private health insurance. Initial consultation including duplex ultrasound: ₪1,300.
Frequently Asked Questions — VenaSeal
Does VenaSeal hurt?
VenaSeal requires only a single local anesthetic injection at the catheter entry point — no multiple injections along the length of the vein. Most patients describe VenaSeal as significantly more comfortable than RFA in terms of pain management during the procedure.
Do I need compression stockings after VenaSeal?
Not necessarily. Post-procedure compression requirements after VenaSeal are much less stringent than after RFA. In many cases, patients can skip compression stockings entirely or wear them for a short period only.
What is the success rate of VenaSeal?
Studies report approximately 95% anatomical closure at one year (VeClose trial, J Vasc Surg Venous Lymphat Disord, 2017) — comparable to RFA. Three- to five-year follow-up data confirms durable results that hold up over time.
Is VenaSeal FDA-approved?
Yes. VenaSeal received FDA approval in 2015 for treating incompetent great saphenous veins. It is also CE-marked in Europe and meets the highest international regulatory standards.
Who is VenaSeal best suited for?
VenaSeal is particularly well-suited for patients with needle anxiety, those on blood thinners, and anyone who wants immediate return to full activity without compression stockings after treatment.
How much does VenaSeal cost?
VenaSeal costs ₪15,000. It may be covered by supplemental private health insurance — verify with your insurer before booking.
Is VenaSeal covered by health insurance in Israel?
Generally no. RFA at CEAP C3 and above may receive partial kupat holim coverage; VenaSeal is typically not covered. Check with your specific health fund.
How long does VenaSeal take?
30–60 minutes — shorter than RFA because there is no extended tumescent anesthesia phase. You can return to normal activity almost immediately after the procedure.
Book a consultation: 073-3744040
Contact Israel Vein Center | Compare with RFA | EVLA via Tofes 17 | Return to exercise guide | Do veins come back? | EVLA via Tofes 17 | All Treatments
Treatment Comparison
| Treatment | Duration | Anesthesia | Recovery | Price |
|---|---|---|---|---|
| RFA | 45–60 min | Local | Next day | Private insurance |
| VenaSeal | 30–45 min | Minimal | Immediate | ₪15,000 |
| Sclerotherapy | 30 min | None | Immediate | From ₪1,500 |
References
- Morrison N, et al. Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous veins (VeClose). J Vasc Surg, 2015. PubMed
- Gloviczki P, et al. The 2022 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins. J Vasc Surg Venous Lymphat Disord, 2023–2024.
- National Institute for Health and Care Excellence (NICE). Varicose veins: diagnosis and management (CG168) — recommends duplex ultrasound for diagnosis and endothermal ablation as first-line treatment.