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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.
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]
The two main therapeutic approaches are variceal ligation and sclerotherapy. [ citation needed ] In cases of refractory bleeding, balloon tamponade with a Sengstaken–Blakemore tube may be necessary, or the use of a fully-covered esophageal self-expandable metallic stent , usually as a bridge to further endoscopy or treatment of the underlying ...
Rarely, impingement upon critical organs may result in complications, such as respiratory distress when a lymphangioma compresses the airway. Treatment includes aspiration , surgical excision , laser and radiofrequency ablation , and sclerotherapy .
The biggest risk, however, seems to occur with sclerotherapy, especially in terms of systemic risk of DVT, pulmonary embolism, and stroke. [citation needed] Other issues which arise with the use of sclerotherapy to treat spider veins are staining, shadowing, telangiectatic matting, and ulceration. In addition, incompleteness of therapy is ...
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Treatment (banding/sclerotherapy) of esophageal varices; Injection therapy (e.g., epinephrine in bleeding lesions) Cutting off of larger pieces of tissue with a snare device (e.g., polyps, endoscopic mucosal resection) Application of cautery to tissues; Removal of foreign bodies (e.g., food) that have been ingested
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