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Sclerotherapy has been used in the treatment of spider veins and occasionally varicose veins for over 150 years. Like varicose vein surgery, sclerotherapy techniques have evolved during that time. Modern techniques including ultrasonographic guidance and foam sclerotherapy are the latest developments in this evolution.
'Foam sclerotherapy for reticular veins of the dorsal hands: a retrospective review." Dermatol Surg. 2014 Aug;40(8):892-8. doi: 10.1097/DSS.0000000000000076. Massaki AB, Kiripolsky MG, Detwiler SP, Goldman MP (2013). Endoluminal laser delivery mode and wavelength effects on varicose veins in an ex vivo model. Lasers Surg Med. 2013 Feb;45(2):123-9.
The vein's lumen gets smaller. On a second procedure, sclerosing agent is injected where the vein is still open. This combination can be used treat veins that could be treated by phleboectomy or foam sclerotherapy - more invasive options. To improve results, CLaCS can be guided by Augmented Reality [4] (near-infrared vein finder). [5]
Sclerotherapy is often used for telangiectasias (spider veins) and varicose veins that persist or recur after vein stripping. [43] [44] Sclerotherapy can also be performed using foamed sclerosants under ultrasound guidance to treat larger varicose veins, including the great saphenous and small saphenous veins. [45] [46]
Foam sclerotherapy or ambulatory phlebectomy is often performed at the time of the procedure or within the first 1–2 weeks to treat branch varicose veins. However, some physicians do not perform these procedures at the time of the ELT because the varicose veins can improve on their own as a result of reduced reflux from the great saphenous vein.
The lingering effects of a high pressure system will conspire with an approaching storm from the Midwest to make a mess across much of the East.
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