Can ultrasound guided sclerotherapy cause ulcers?
After receiving Vnus laser ablation with ultrasound guided schlerotherapy I developed several large ulcers BELOW the knee area.
Any explanation for what could have happened?
The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice,
diagnosis or treatment by a qualified health care provider.
Replied on 9/15/2010
Replied on 11/16/2009
By: Laser Vein Center | Thomas Wright, M.D., F.A.C.P., R.V.T.
Ultrasound Guided Sclerotherapy can cause ulceration at the site of injection. This is a rare but a possible complication of any type of sclerotherapy. There are several possible mechanisms of ulcer formation. Two of the possible cause are as follows. Inadvertent injection of the sclerosing solution into the tissues around the vein can create the damage. More commonly is an essentially unavoidable potential for an injected vein to have a microscopic connection (fistula) with a small artery so that the vein solution gets shunted to the artery and causes an artery closure thereby damaging the skin feed by that small artery.
When an unexpected event like this occurs the best approach is to speak with your provider. There are many causes of developing ulcers after your procedure some very simple and some not so simple. Your provider knows your exact history and procedure and will be able to provide you with the best care. I would encourage you to speak with Him/Her first.
Replied on 11/16/2009
Replied on 11/16/2009
Replied on 11/14/2009
Replied on 11/13/2009
By: Vein Specialty Medical Clinic, Inc. | Khalil Fattahi M.D.
Board Certified, American Board of Phlebology
Of course. In case even a small amount of sclerosing foam or liquid enters an artery, it will cause necrotic ulcer. Depending on size of the artery, size and extent of ulcer will vary. I suggest to test all targeted veins with doppler, right before injecting into the vessel, to assure that accidental inject of an artery will not happen. It is logical to seek this kind of treatment from a doctor who is a phlebologist with extensive experience in ultrasound guided sclerotherapy. A doctor who is doing this kind of treatment on regular basis, as not as a side job. Phlebology should be treated as an independent specialty, and not a piggy bag of other specialties.
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