Absolutely yes. For most large varicose veins, in my experience, it provides a better outcome than surgical treatment. However, it often requires a few months for the treated veins to completely disappear. With Sclerotherapy, it is possible to remove an entire segment of a varicose vein; with phlebectomy only small segments of veins are removed leaving segments behind.
Published on Jul 11, 2012
Sclerotherapy is an option for varicose vein treatment, sometimes used in combination with other minimally invasive procedures depending on your diagnosis, physical examination, and imaging results. My recommendation is for you to see a specialist board-certified in Venous and Lymphatic medicine for evaluation and treatment for your specific case.
All the best!
Published on Jul 11, 2012
Sclerotherapy works better on non-bulging veins, but it can be done. True, varicose veins that bulge out and are palpable generally have an underlying cause that needs to be addressed and treated by means other than sclerotherapy.
Published on Jul 11, 2012
Yes, I perform foam sclerotherapy using ultrasound guidance as an adjunct to clear up any residual varicose veins after Venefit saphenous vein closure. I will usually wait 3 months to see how many varicosities remain, if any, after closure. Afterwards, I will assess for "clean up" foam sclerotherapy versus ambulatory microphlebectomy of these persistent varicosities. If there is no reflux on the patient's initial ultrasound mapping, I will then consider sclerotherapy as the initial treatment of choice.
Published on Jul 11, 2012
Yes
Published on Jul 11, 2012
Yes, the procedure can be done on large varicose veins.
Published on Jul 11, 2012
Sclerotherapy is most commonly used for smaller veins or spider veins (those less than 5 mm in diameter.) For larger varicose veins, there are minimally invasive procedures that are available.
Published on Jul 11, 2012
Sclerotherapy can be performed on large varicose veins, but it probably won't be very effective. The larger the vein the more blood flow it usually has which, it turn, will be more likely to wash out the sclero and be ineffective.
Published on Jul 11, 2012
Most certainly sclerotherapy can treat large varicose veins.
Published on Jul 11, 2012
Sclerotherapy can be done on large varicosities. It is necessary to first control any major venous insufficiency if it exists in the major trunk veins. Veins larger than 4 mm can be treated with a foamed sclerosant; however, the risk of hyperpigmentation increases. Sometimes, a mini-phlebectomy can be more cosmetic. Your vein specialist will advise you.
Published on Jul 11, 2012
Yes, sclerotherapy can be performed on large varicose veins. It may require a few treatments, and sometimes there is "trapped blood" that needs to be removed. The latter is simple to do. I prefer phlebectomy of large varices, but sclerotherapy is an accepted treatment as well.
Published on Jul 11, 2012
Sclerotherapy can be performed on any sized veins. For large varicose veins, however, I prefer microphlebectomy. The advantage of microphlebectomy is that it's a "one and done" procedure as opposed to sclerotherapy, which often requires several treatments.
Published on Jul 11, 2012
Yes. Sclerotherapy can be used to treat almost any varicose vein in the leg, and with great success. However, to properly and safely do so, the doc needs to know where these large varicose veins start, end and what they hook into in order to do it safely. They may even need to use an ultrasound to help guide them in where to inject and what vessels to stay away from. As a vein treatment specialist, I personally prefer this method over "stripping" (or as most docs call it "micro/stab phlebectomy"). Using sclerotherapy instead of stripping, when done correctly, results in the vein disappearing with no incisions/scars. Unlike in the case of stripping, people are often left with multiple small incision marks.
Published on Jul 11, 2012
Sometimes. Yes.
Published on Jul 11, 2012
Sometimes sclerotherapy can be performed on large varicose veins, but it depends on the patient's anatomy, symptoms, etc. You should schedule an appointment and evaluation with an experienced vein specialist.
Published on Jul 11, 2012
Sclerotherapy can be done on large varicose veins, but microphlebectomies may be a better option.
Published on Jul 11, 2012
Yes, foam sclerotherapy is very effective at eliminating large varicose veins.
Published on Jul 11, 2012
Sclerotherapy can be performed on varicose veins, but when they are large, there are better alternatives. As a surgeon with many years of vascular experience, I typically remove these veins in the office under local anesthesia. The incisions (punctures actually) are very small and the sections of veins are removed through them. In experienced hands, this is a one-time procedure and the vein is gone. Cosmetically, this is a nice procedure with no scarring. At the most, there may be a small freckle-like dot that will remain. There is also little downtime (a couple of days with a light dressing and stocking for a week). With sclerotherapy in larger varicose veins, it involves multiple visits for injection and also additional visits to remove areas of "trapped clotted" blood. If not removed, these can be uncomfortable and also cause staining of the skin overlying the veins.
Published on Jul 11, 2012
Sclerotherapy can be performed on large varicose leg veins when using the correct technique. Usually, foam injections are best, followed by post-treatment compression stockings.
Published on Jul 11, 2012