Can Foam Sclerotherapy in a perforator vein leak into a deep vein?

I had the VENUS procedure done 4 weeks ago along with foam sclerotherapy into a perforator vein about 3" above my ankle. Ultrasound shows a thrombosis in this area. It is still hardened, tender, and has not improved. What should I expect my surgeon to do?

Answers from doctors (5)


Metro Vein Centers

Published on Dec 14, 2017

You should have your surgeon evaluate the area.

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Answered by Metro Vein Centers

You should have your surgeon evaluate the area.

Published on Jul 11, 2012


North Shore Vein Center

Published on Feb 17, 2011

There is no question that foam injected into a perforator vein can, and almost always will leak into the deep veins. That is why so much care is taken and your surgeon followed all the necessary precautions. Does the ultrasound show a thrombosis in the deep system of veins or a superficial branch varicosity? The treatment and level of concern may differ. It sounds like you have a hardened, tender area known as superficial phlebitis, which is of minor concern as long as there are no clots in the deep veins. This can occur quite commonly and will resolve in 4-6 weeks with compression (stockings) and patience. If cleared to do so, a small dose of aspirin will help.

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Answered by North Shore Vein Center

There is no question that foam injected into a perforator vein can, and almost always will leak into the deep veins. That is why so much care is taken and your surgeon followed all the necessary precautions. Does the ultrasound show a thrombosis in the deep system of veins or a superficial branch varicosity? The treatment and level of concern may differ. It sounds like you have a hardened, tender area known as superficial phlebitis, which is of minor concern as long as there are no clots in the deep veins. This can occur quite commonly and will resolve in 4-6 weeks with compression (stockings) and patience. If cleared to do so, a small dose of aspirin will help.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Feb 15, 2011

Foam sclerotherapy always carries a risk of traveling into the deep veins. The ultrasound you describe indicates an excellent result from the foam. It sealed the leaking perforator. The hard and tender area is common following this procedure. Wet heat to the area and ibuprofen should help.

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Answered by Vanish Vein and Laser Center

Foam sclerotherapy always carries a risk of traveling into the deep veins. The ultrasound you describe indicates an excellent result from the foam. It sealed the leaking perforator. The hard and tender area is common following this procedure. Wet heat to the area and ibuprofen should help.

Published on Jul 11, 2012


Heart and Vein Center

Published on Feb 15, 2011

Only depends on how far did the clot in the deep veins extended. If remains in the calf only, nothing to be done. If the leg is not swollen, nothing to be done. The indurated vein is expected since that is the effect of the sclerotherapy. Compression stockings everyday are very important as well as walking exercises.
Dr Farhy

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Answered by Heart and Vein Center

Only depends on how far did the clot in the deep veins extended. If remains in the calf only, nothing to be done. If the leg is not swollen, nothing to be done. The indurated vein is expected since that is the effect of the sclerotherapy. Compression stockings everyday are very important as well as walking exercises.
Dr Farhy

Published on Jul 11, 2012


Nu Vela Vein Center

Published on Feb 15, 2011

You need to have the thrombus drained with a simple needle puncture during
your next office visit. Clot formation happens often in the veins treated by
Foam Sclerotherapy and draining the clot in 2-3 weeks helps the healing
process and relieves the symptoms. Waiting too long makes it more difficult
extract the trapped blood

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/992_1499978603.jpg
Answered by Nu Vela Vein Center

You need to have the thrombus drained with a simple needle puncture during
your next office visit. Clot formation happens often in the veins treated by
Foam Sclerotherapy and draining the clot in 2-3 weeks helps the healing
process and relieves the symptoms. Waiting too long makes it more difficult
extract the trapped blood

Published on Jul 11, 2012


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