Nick Morrison, M.D., Center for Vein Restoration, Mesa, AZ, presented at the 2019 Charing Cross Symposium in London. The new data demonstrate durable and consistent long-term outcomes of the Medtronic VenaSeal Closure System in treating patients with chronic venous disease. The VeClose Extension Study is a follow-on study with the purpose of evaluating long-term outcomes at five years post-treatment with the VenaSeal Closure System. The aggregate complete closure rate of the great saphenous vein, or GSV, was 94.6% in the VenaSeal subjects who completed five-year follow-up, including 47 randomized subjects and nine roll-in subjects. In the original VeClose Study, patients were randomized to receive treatment with VenaSeal or the Medtronic ClosureFast radiofrequency ablation, or RFA, device. By Kaplan-Meier analysis of the randomized cohorts to evaluate success over the life of the study through five years, vein closure estimates were 91.4% for VenaSeal and 85.2% for RFA, demonstrating continued non-inferiority of VenaSeal to RFA through five years. Patient improvement was rated on three assessments: Venous Clinical Severity Score, or VCSS, a clinical venous disease assessment; and the Aberdeen Varicose Vein Questionnaire, or AVVQ, and EQ-5D – both of which provide patient-reported quality of life, or QoL, outcomes. By all measurements, subjects sustained or maintained improvements in QoL after treatment with either VenaSeal or RFA. These first prospective five-year data for VenaSeal demonstrate a strong clinical portfolio with sustained long-term outcomes. “The five-year data support the safety, effectiveness, and quality of life-enhancing capability of both VenaSeal and ClosureFast in treating patients with chronic venous disease,” said Dr. Morrison. “Furthermore, the data demonstrate long-term, strong, and consistent outcomes. The industry will benefit from long-term data like this so that physicians and patients can be confident in their treatment choice.”
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