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Sclerotherapy is a non-invasive procedure taking only about 10 minutes to perform. The downtime is minimal, in comparison to an invasive varicose vein surgery. [17] Sclerotherapy is the "gold standard" and is preferred over laser for eliminating large spider veins telangiectasias.
Endovenous laser treatment treats varicose veins using an optical fiber that is inserted into the vein to be treated, and laser light, normally in the infrared portion of the spectrum, [1] shines into the interior of the vein. This causes the vein to contract, and the optical fiber is slowly withdrawn.
The distal veins are removed following the complete ablation of the proximal vein. This treatment is most commonly used for varicose veins off of the great saphenous vein, small saphenous vein, and pudendal veins. [60] Follow-up treatment to smaller branch varicose veins is often needed in the weeks or months after the initial procedure.
'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.
CLaCS (Cryo-Laser and Cryo-Sclerotherapy) is a treatment for leg vein lesions by combining transdermal laser effect and injection sclerotherapy, all under skin cooling (Cryo - cold air blown onto the skin at -20C). [1] [2] [3] The laser causes a selective photothermolysis damaging the vein wall. The vein's lumen gets smaller.
Shown in this picture are varicose veins that would be targeted with ultrasound-guided sclerotherapy. Vascular Surgery. Ultrasound is essential to the procedures of ultrasound-guided sclerotherapy and endovenous laser treatment for the non-surgical treatment of varicose veins. [17]