Cyanoacrylate glue using the VenaSeal™ Closure System for varicose veins may not be the panacea endovenous ablation device-more complications than you think

Radiofrequency and endovenous laser ablation (RFA/EVLA) are two of the most popular minimally invasive treatments and having come to the market earlier, they have a well-established safety record and are the current gold standard for comparison. Recent unrivalled 15-year follow-up data using RFA have shown excellent durable longterm technical success [1]. However, there are still significant adverse events and the concerns of skin burns and endovenous heat induced thrombosis (EHIT) (3-5%) [2,3] are unique to these thermal techniques.