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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.
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.
Varicose veins; Hypertrophy of bony and soft tissues, that may lead to local gigantism or shrinking, most typically in the lower body/legs. An improperly developed lymph system; In some cases, port-wine stains (capillary port wine type) may be absent. Such cases are very rare and may be classified as "atypical Klippel–Trenaunay syndrome".
Local anaesthetic endovenous surgery using the thermoablation (endovenous laser ablation or radiofrequency), perforator closure (TRLOP) and foam sclerotherapy showed an 85% success rate of healing, with no recurrence of healed ulcers at an average of 3.1 years, and a clinical improvement in 98% in a selected group of venous leg ulcers. [48]
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]
A study of 516 treated veins over 69 months by Elmore and Lackey reported a success rate of 98.1%. [ 6 ] Endovenous thermal ablation (EVTA) by radiofrequency or laser is a safe and effective treatment of refluxing great saphenous veins [ 7 ] (GSVs) and has replaced traditional high ligation and stripping in official recommendations of various ...
Varicose veins and reticular veins are often treated before treating telangiectasia, although treatment of these larger veins in advance of sclerotherapy for telangiectasia may not guarantee better results. [18] [19] [20] Varicose veins can be treated with foam sclerotherapy, endovenous laser treatment, radiofrequency ablation, or open
The success of lithotripsy depends on the size and location of the stone, and the patient's age. [10] Oncology. Ultrasound can ablate tumors or other tissue non-invasively. [4] This is accomplished using a technique known as high intensity focused ultrasound (HIFU), also called focused ultrasound surgery. This procedure uses generally lower ...