Which veins get injected with sclerotherapy?

Sclerotherapy . 4 answers . 3 years ago

Which veins get injected with sclerotherapy for varicose veins treatment? Is it the bulging ones or the ones inside the leg that we don't see that are varicose? Thank you!

ANSWERS FROM DOCTORS


2 years ago by General Vascular Surgery Group

Depends on the patient. If we're talking about spider veins generally we inject those directly.
Larger veins may also need injections of the deeper feeding branch some times with ultrasound guidance.
Michael D. Ingegno

2 years ago by General Vascular Surgery Group (View Profile)

Depends on the patient. If we're talking about spider veins generally we inject those directly.
Larger veins may also need injections of the deeper feeding branch some times with ultrasound guidance.
Michael D. Ingegno


2 years ago by Bella MD Laser Vein and Aesthetic Center

Sclerotherapy is only used for spider veins.

2 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

Sclerotherapy is only used for spider veins.


2 years ago by Vein Specialties of St. Louis

Typically we reserve sclerotherapy for spider and reticular veins (these are usually below the surface or appear as very small varicose veins. If they are larger, I would remove them using microphlebectomy which are tiny punctures and using a fine hook. It is cosmetically pleasing and a one time procedure. If the deeper vein you mention is the saphenous vein, we would use endovenous ablation under local anesthesia where a laser fiber is inserted into the veins and sealed from within. The varicose veins, if larger, can be removed at the same setting.

Injecting larger varicose veins usually requires several treatments, may have episodes of trapped blood which need to be released and involves more trips to the office.

Norman N. Bein MD FACS RVT

2 years ago by Vein Specialties of St. Louis (View Profile)

Typically we reserve sclerotherapy for spider and reticular veins (these are usually below the surface or appear as very small varicose veins. If they are larger, I would remove them using microphlebectomy which are tiny punctures and using a fine hook. It is cosmetically pleasing and a one time procedure. If the deeper vein you mention is the saphenous vein, we would use endovenous ablation under local anesthesia where a laser fiber is inserted into the veins and sealed from within. The varicose veins, if larger, can be removed at the same setting.

Injecting larger varicose veins usually requires several treatments, may have episodes of trapped blood which need to be released and involves more trips to the office.

Norman N. Bein MD FACS RVT


3 years ago by Vanish Vein and Laser Center

Almost any vein can be treated by sclerotherapy as long as the vein is big enough to accommodate the needle. However, spider and the blue reticular veins do better with sclerotherapy than the larger varicose veins.

3 years ago by Vanish Vein and Laser Center (View Profile)

Almost any vein can be treated by sclerotherapy as long as the vein is big enough to accommodate the needle. However, spider and the blue reticular veins do better with sclerotherapy than the larger varicose veins.


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