Vein Clinic of Greater Kansas City Treatment Charles E. Stuckey, M.D. F.A.C.S. 913-541-3377

The Closure® Procedure -- A Treatment That Works

Clinical results indicate that the Closure procedure can be effective at closing the vein and significantly reducing patient symptoms.

Patient Symptoms Reported at Follow-up

Symptom	Pretreatment	8 Weeks	2 Years
Leg Pain	85%	6%	5%
Leg Fatigue	85%	12%	5%
Edema (swelling)	19%	8%	0%

Prior to the Closure procedure, 85% of patients reported leg pain. After the Closure procedure, 94% of patients at six weeks and 95% of patients at two years did not report residual leg pain.

Three randomized trials of the Closure procedure versus vein stripping, including the most recent multi-center comparative trial published August 2003 in the Journal of Vascular Surgery, show very similar results. In the most recent trial every statistically significant outcome was in favor of the Closure procedure, resulting in:

Return to normal activities within one day for 80.5% of Closure treated patients versus 46.9% of patients who underwent vein stripping surgery
Less post-operative pain and limitation of physical activity
Return to work 7.7 days sooner than vein stripping patients
Higher quality of life scores than vein stripping

Typical Cosmetic Results: Before and After the Closure Procedure


Pre-treatment	Typical results 2 weeks post-Closure

Percent of Legs Without Varicose Veins at Follow-up

The Closure procedure may be as effective as vein stripping in delaying the reappearance of varicose veins.

Treatment	1 Year	2 Years
Closure	90%	87%
Vein Stripping	85%	75%
Ligation	86%	57%

References for this report will be furnished upon request.

OVERLAND PARK OFFICE
10600 Quivira Rd., Suite 230
Overland Park, Kansas
913-541-3377

LANSING OFFICE
712 First Terrace
Lansing, Kansas
913-727-6000