The Vein Institute

Flebogrif for Varicose Veins

What is Flebogrif ?

Flebogrif is what’s known as a mechanochemical varicose vein treatment, similar to ClariVein. It uses a specialised wire that splits into four heads and foam sclerotherapy. The wire passes through the problem vein and cuts into its walls, allowing the foam sclerosant to penetrate deeper into the vein.

These mechanisms work together to seal the vein, letting your body absorb it and reroute blood flow to nearby healthy veins.

We perform this procedure under ultrasound guidance and with regional anaesthesia, ensuring a comfortable treatment process and the best possible results.

What are the benefits of Flebogrif treatment?

  • Walk-in and walk-out procedure
  • Doesn’t require thermal ablation, eliminating the risk of thermal damage to surrounding tissue
  • We can adjust the sclerosing agent depending on your vein condition
  • Ultrasound guidance lets us ensure the best possible results
  • The procedure is done with regional anaesthesia for a comfortable experience
  • Our specialists insert the wire through a pin-sized entry point, negating the need for sutures and stitches

What to expect during Flebogrif ?

Your vein doctor will inject your leg with a regional anesthetic. This is a numbing agent and will not affect you the way general anaesthesia does. They will then make a tiny incision, insert the Flebogrif wire and guide it through the vein.

Once the wire is in position, they will release its cutting elements and inject foam sclerosant. You will not be able to feel this happening. Once the vein is sealed, your doctor will wrap your leg in compression wrap and advise you to walk for 30 minutes.

How to prepare for treatment ?

  • We recommend that you wear loose, comfortable clothing to allow space for the compression wrap.
  • You DO NOT need to fast before the procedure. You should instead eat something to lower the risk of feeling faint.
  • Drink 2 glasses of water (around 500 ml total) within a couple of hours of your treatment. This will reduce the risk of clotting.
  • If your job requires a lot of heavy lifting or long hours of standing, it may be best to arrange for 2-3 days off to ensure your comfort.

Post treatment

After the treatment, you will need to wear the compression wrap we apply for 24 hours. After that, you’ll need to wear compression stockings for 3-5 days.

You should stay well hydrated. You should also walk for 30 minutes a day, every day, for around two weeks post treatment. While walking and gentle exercise are great for relieving common side effects like mild redness, aches, and swelling, intense exercise like weight training can make them worse and even complicate recovery. Avoid strenuous activities for 2-3 days – depending on your treating doctor’s advice.

Are there any risks of Flebogrif treatment?

It’s normal to experience some side effects after vein treatment. Keep in mind that these are only temporary, and should resolve completely within a couple of weeks or months. These may include: a mild allergic reaction (such as itching or swelling) to the sclerosing agent or tiny blood vessels may form in the treated area. This temporary condition is called revascularization and it normally goes away on its own after a few months.

While it’s extremely rare, more serious complications can occur after Flebogrif treatment. Seek medical care immediately if you experience any of the following:

  • Acute inflammation or swelling in the injected region.
  • Small ulcers or wounds forming at the injection site.
  • Chest pain after the procedure, which can indicate DVT or Pulmonary Embolism. You can also identify a DVT through redness and a cramp that will not ease with stretching.