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An Advanced Alternative to the Treatment of Varicose Veins
What is Closure?
The Closure Procedure is a minimally invasive
treatment alternative to Varicose vein stripping.
The Closure procedure is a minimally invasive treatment alternative
for patients with a condition known as superficial venous reflux, which often results in varicose
veins and other painful symptoms. The Closure procedure is a less painful and less invasive
alternative to surgically removing the problematic vein or veins from your legs.
Approximately 25 million people suffer from venous reflux.

Understanding Superficial Venous Reflux
& Varicose Veins
What is superficial venous reflux?
Superficial venous reflux is a condition that develops when the valves that usually keep blood flowing out of your
legs become damaged or diseased. Damaged valves result in a backward flow of blood which causes blood to pool in
your legs. This leads to symptoms such as pain, swelling and varicose veins.
Common symptoms of superficial venous reflux include:
- pain
- swelling
- leg heaviness and fatigue
- varicose veins in your legs.
Your legs are made up of a network of veins. A healthy vein contains
valves which open and close to assist the return of blood to the heart. Varicose veins are caused by damaged or
diseased valves which result in backward flow of blood in your legs, a condition known as venous reflux.
This can cause blood to pool in your legs and lead to symptoms such as pain, swelling, and varicose veins.
The Closure Procedure
The Closure procedure, an alternative treatment option to traditional
vein stripping surgery, brings state of the art technology to an age old disease.
The Closure procedure is an outpatient (day surgery) treatment
performed in Dr. Niedzwiecki's
office, or in the Radiology Department of Mease Countryside Hospital. Local or regional anesthesia is typically used to numb the treatment area.
The Closure procedure eliminates reflux by closing the problem vein by inserting a thin catheter into the vein
through a small opening, usually using a single needle stick. The catheter delivers radiofrequency (RF) energy
to the veins wall, causing it to heat, collapse, and seal shut.
Once the diseased vein is closed, other healthy veins take over
and empty blood from your legs. As normal return flow is re-estatablished, your symptoms should improve noticeably.
Following the procedure, the catheter is removed, a bandage is
placed over the insertion site. You will be asked to walk, wear compression stockings, and to refrain from long
periods of standing for a period of time following the procedure to help speed your recovery. Many patients resume normal activities
within 1-2 days.
Highlights of the Closure Procedure
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- Local or regional anesthesia
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- Resume normal activities with 1-2 days
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- Good cosmetic outcome with minimal or no scars
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Patient Testimonials
The Closure Procedure - A Treatment That Works
Promising clinical results indicate that the Closure procedure
can be an effective treatment alternative to traditional vein surgery, including vein stripping and ligation.
Clinical Follow Up Outcomes
| Follow Up |
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Reflux Free |
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| 1 week |
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259/269 - (96%) |
| 3 months |
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178/191 - (93%) |
| 6 months |
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207/224 - (92%) |
| 12 months |
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198/221 - (90%) |
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Evaluate at six and twelve months after treatment resulted in
86 of 91 (94%) Closure patients rating themselves as symptom free or substantially improved.
Recurrent Varicose Veins
Recurrent varicose veins after treatment with the Closure procedure
are compared to a separate study of vein stripping vs. vein ligation. The data, up to one year after treatment,
suggest the Closure procedure may be as effective as vein stripping in delaying the appearance of varicose veins.
Minimally Invasive Treatment Options
Click here for EVLT treatment.
Click here for Sclerotherapy treatment.
Where do I Call for a Consultation?
If you'd like to know more about the Closure procedure, please Call us TODAY at 727-791-7300 if you have any questions. We're looking forward to helping you .
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