Sclerotherapy
Sclerotherapy, or ‘injection therapy’, is the most
common treatment for spider and varicose veins on the legs. Facial,
breast, and hand veins may also be treated with sclerotherapy. During
treatment, a mild chemical solution is injected into the incompetent
vein or capillary. The sclerosing agent irritates the walls of the
vessel, causing it to collapse. The body then absorbs the vein and
blood is re-routed to a healthy vein, restoring proper venous circulation
in the area.
A single sclerotherapy treatment session involves multiple injections.
Patients describe the injections as feeling like a pinprick or mosquito
bite. The number of treatment sessions needed will vary from patient
to patient, depending on the number of veins treated, healing time,
and the level of cosmetic perfection desired.
Following injections, the leg is wrapped with an elastic bandage
for several hours to help keep the vein closed. Normal daily activities
can commence immediately after treatment, although compression stockings
may need to be worn for 1-3 days after the procedure, depending
on the vein size.
At times, we may aid injection therapy by transilluminating
the surrounding area to make deep problem veins more visible to
the naked eye. By passing a special high intensity light through
the skin’s surface we are able to locate and inject the deeper
source of your varicose and spider veins.
Age revealing veins on the back of the hands can also be reduced
with sclerotherapy.
Foam-Sclerotherapy
Foam sclerotherapy is a new form of delivering the sclerosing agent.
This method is used at the VTC for large varicose veins. The foam
solution has the consistency of shaving cream, which improves treatment
in two distinct ways. First, the foam displaces blood within the
vein, permitting the full strength of the sclerosing agent to be
in direct contact with the vein wall for an extended period of time
without any dilution effects. Second, the foam is visible via ultrasound
imaging and can be easily tracked and guided to the source of the
venous problem.
Glycerin-Sclerotherapy
The Vein Treatment Center can also prescribe a glycerin-based sclerosing
agent in the treatment of small spider veins and broken capillaries.
Due to the fact that glycerin only irritates the inner lining of
vein vessels, patients rarely develop redness or bruising in the
treatment area.
Ultrasound-Guided Sclerotherapy Techniques
Using duplex ultrasound, doctors can guide a needle to the exact
location of the vein (valve) to be injected. This technique permits
the injection of larger veins that once required more invasive treatments.
Although Duplex-Guided Sclerotherapy is widely used, the VTC prefers
in many occasions to use a catheter instead of a needle (Transcatheter
Image-Guided Occlusion Sclerotherapy, aka TIGOS) for safer and more
effective treatment of large veins in difficult areas (groin and
knee). TIGOS utilizes color duplex ultrasound to visually guide
a catheter inside the vein to the exact location of the incompetent
valve.
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