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I had endovenous laser ablation of saphenous vein, and now I'm told I need 3 sclerotherapy sessions. is this so? only one is covered by my insurance. I was told that only having 1 could be harmfull, is this true?
Sclerotherapy should no be harmful.
It is generally done the treat the leftover veins. It is usually not essential for pain but for the appearance of the remaining veins.
Michael D. Ingegno
No sclero is covered by insurance unless some funny coding is going on.
It is difficult to say without knowing your full history. Which vein/s are they injecting? If you are having this under ultrasound guidance for a refluxing perforator vein, it can take more than one treatment.
We usually get a pre-determination for 3 visits for coverage if needed. Often they won't be needed but your could check if your physician applied to insurance for 3. If they are injecting varicose veins, it is a different scenario. In our practices, being surgical based, we usually remove the varicosities in a cosmetic manner (microphlebectomy). This is usually done at the same time as the EVLA unless the veins are particularly large and is usually one treatment.
Norman N. Bein MD FACS RVT
I can't think of a reason why one sclerotherapy session would be harmful but three sessions are safe.
Sclerotherapy of tributary branches is very commonly done after endovenous laser treatment of the saphenous veins. The number of sclerotherapy sessions needed depends on the number of veins that need to be treated. It is a safe procedure for the most part, provided certain precautions are taken and it is done by someone who has expertise.
One sclerotherapy is not harmful and sclerotherapy usually requires multiple treatments. 3 treatments are about the average to eradicate most spider veins. You are lucky that even one is covered by insurance. Most insurance companies consider sclerotherapy to be cosmetic and will not cover it.