Cyanoacrylate Closure (Glue)
A medical-grade adhesive is injected into the refluxing vein to seal it permanently — no heat, no tumescent anaesthesia, and no compression stockings required.
What is Cyanoacrylate Closure (Glue)?
Cyanoacrylate closure (commonly known as VenaSeal) is a non-thermal, non-tumescent treatment for saphenous vein reflux. A medical-grade cyanoacrylate adhesive is delivered through a catheter under ultrasound guidance, sealing the vein along its length. Because no heat is used, there is no need for tumescent anaesthesia or post-procedure compression stockings. Dr. Abhishek offers cyanoacrylate closure at Lux Hospitals for patients seeking the most rapid recovery possible — same-day return to all normal activity, including gym workouts.
How the Procedure Works
Vein Mapping
The refluxing vein is mapped with duplex ultrasound; entry point and treatment length are planned.
Catheter Placement
A delivery catheter is inserted into the vein through a single puncture under ultrasound guidance.
Glue Delivery
Small aliquots of cyanoacrylate adhesive are delivered along the vein with brief external compression.
Vein Closure
The adhesive bonds the vein walls together, sealing the vein along its entire treated length.
Same-Day Activity
No compression stockings are needed; patient resumes all activities including gym immediately.
Outcomes
Who Needs This Treatment?
- →No heat, no tumescent anaesthesia injections required
- →No post-procedure compression stockings needed
- →Same-day return to all normal activities including gym
- →Single tiny puncture — minimal post-procedure discomfort
- →Excellent option for patients on blood thinners
- →High closure rates equivalent to thermal ablation
Cyanoacrylate glue closure is the most patient-friendly varicose vein treatment we have — single needle, no compression, back to the gym the same day. For the right patient, it's a remarkable advance.
— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Cyanoacrylate Closure (Glue / VenaSeal) Cost in Hyderabad
The cost of cyanoacrylate closure, also known as glue therapy or VenaSeal, in Hyderabad depends on the severity and extent of varicose vein disease, the vein being treated, number of veins involved, venous Doppler findings, device and catheter requirements, and hospital or day-care care. Cyanoacrylate closure is a minimally invasive, non-thermal treatment in which a medical adhesive is delivered through a catheter to close an abnormal superficial vein and redirect blood flow through healthier veins. Unlike thermal ablation techniques, it does not require the same form of tumescent anesthesia around the treated vein. The estimated cost ranges from ₹1,50,000 to ₹2,80,000, with an average cost of approximately ₹2,15,000.
| Procedure | Approximate Cost Range |
|---|---|
| Non-thermal, no tumescent anaesthesia | ₹1,50,000 ₹2,80,000 |
The actual cost may vary depending on the extent and pattern of venous reflux, number and size of veins treated, vein anatomy, and whether additional procedures are required for residual tributary veins. A venous Doppler assessment is important before treatment to map the veins and identify the source of abnormal blood flow.
The overall expense may include vascular consultation, venous Doppler, pre-procedure investigations, the cyanoacrylate delivery catheter and adhesive system, ultrasound guidance, local or other anesthesia as required, facility charges, medicines, compression therapy where advised, and follow-up care. Treatment of associated tributary veins through phlebectomy or sclerotherapy may involve separate charges.
Factors Affecting Cyanoacrylate Closure Cost
The cost of glue-based vein closure can vary because the extent and anatomy of venous reflux differ between patients. The specialized closure device is an important component of the treatment cost, while the need to treat additional veins can further influence the final expense.
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Extent of venous reflux: The severity and distribution of reflux can affect treatment planning and procedure time.
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Vein involved: The great saphenous vein, small saphenous vein, or another suitable superficial vein may require individualized planning.
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Number of veins treated: Treating more than one refluxing vein can increase the overall procedural cost.
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Venous Doppler assessment: Duplex ultrasound helps identify reflux, map the affected veins, and determine the appropriate treatment approach.
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Vein anatomy: Tortuous veins, variations in anatomy, and vessel diameter may affect technical complexity.
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Specialized glue system: The cyanoacrylate adhesive and delivery catheter are specialized medical devices and can represent a significant portion of the treatment expense.
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Non-thermal technique: Because the treatment does not rely on thermal energy, the anesthesia and procedural requirements differ from techniques such as EVLA or RFA.
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Associated tributary veins: Prominent residual veins may require additional foam sclerotherapy or ambulatory phlebectomy.
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Previous venous procedures: Earlier vein treatment may alter anatomy and influence the planning of further intervention.
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Facility charges: Ultrasound guidance, procedure-room services, monitoring, sterile supplies, and day-care care contribute to the overall cost.
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Compression therapy: Compression stockings may be advised in selected patients and can represent an additional expense.
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Additional procedures: Treatment of other refluxing veins or associated venous disease may increase the total cost.
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Post-procedure care: Medicines, follow-up consultations, and monitoring of symptom improvement may also affect the final expense.
Insurance Coverage for Cyanoacrylate Closure
Cyanoacrylate closure may be covered by health insurance when it is medically necessary for symptomatic varicose veins or an eligible venous reflux disorder. Coverage can vary because glue-based treatment involves a specialized medical device and may be subject to insurer-specific criteria. Treatment undertaken primarily for cosmetic reasons may have limited or no coverage under some policies. Patients should confirm coverage for the procedure, adhesive system and catheter, venous Doppler, hospitalization or day-care services, compression therapy, and any additional vein procedures, along with applicable policy exclusions, waiting periods, limits, and pre-authorization requirements.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Abhishek Katha
Consultant General & Laparoscopic Surgeon
Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with varicose veins and other surgical conditions requiring assessment. During consultation, he reviews symptoms such as visible enlarged veins, leg pain or heaviness, swelling, cramps, itching, skin discoloration or other skin changes, and the duration and progression of the condition. He also reviews previous vein treatments, relevant medical history, and available venous Doppler reports. A physical examination helps assess the distribution of the varicose veins and identify the likely pattern of venous reflux and any associated tributary veins. When cyanoacrylate closure is being considered, Dr. Abhishek Katha reviews the clinical and Doppler findings to determine whether the affected vein is suitable for a non-thermal closure technique. He explains the catheter-based delivery of the medical adhesive, the difference between glue closure and thermal ablation, expected recovery, activity recommendations, follow-up, and the possibility of treating residual tributary veins separately. The consultation may also include discussion of the specialized device-related component of the treatment cost, venous Doppler assessment, compression requirements where advised, possible additional procedures, and factors that may affect the final treatment expense.
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