Effectiveness of Asclera vs saline injections?

Does Asclera work better than saline injections? I had saline injections 6 weeks ago and there was no improvement in my spider veins. The Dr. suggested using Asclera.

ANSWERS FROM DOCTORS (2)


5 years ago by Vein Center at University Medicine and Cardiology

Asclera is approved for veins 1mm-3mm in size and does provide better results than hypertonic saline. You should discuss the risks and benefits with your physician.

5 years ago by Vein Center at University Medicine and Cardiology (View Profile)

Asclera is approved for veins 1mm-3mm in size and does provide better results than hypertonic saline. You should discuss the risks and benefits with your physician.


3 days ago by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

Very few docs use hypertonic saline when there are FDA-approved sclerosant solutions available. Hypertonic saline can cause serious tissue necrosis if it is inadvertently injected into surrounding soft tissue or skin, or if it extravasates out.

This is not seen with sodium tetradecyl sulfate or polidochanol. I do not recommend hypertonic saline for sclerotherapy. Oh, by the way, hypertonic saline is not FDA-approved for sclerotherapy but has been "grandfathered in" since it is been around for many years.

3 days ago by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS (View Profile)

Very few docs use hypertonic saline when there are FDA-approved sclerosant solutions available. Hypertonic saline can cause serious tissue necrosis if it is inadvertently injected into surrounding soft tissue or skin, or if it extravasates out.

This is not seen with sodium tetradecyl sulfate or polidochanol. I do not recommend hypertonic saline for sclerotherapy. Oh, by the way, hypertonic saline is not FDA-approved for sclerotherapy but has been "grandfathered in" since it is been around for many years.


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