Sclerotherapy

Sclerotherapy is a vein treatment procedure where a medication (also called a sclerosant) is injected through a tiny needle into the targeted vein.

Some people may have heard of saline injections for treating abnormal veins. Saline is not used anymore because of the pain and burning associated with the treatment and its high risk of complications.

At Happel Laser & Vein Center, we use the latest FDA approved medications which include Sotradecol and polidocanol.

This allows for a safer and more effective vein treatment for patients with both varicose and spider veins. Unhealthy or diseased veins become irritated, inflamed and are eventually absorbed by the body.

Sclerotherapy

Before varicose veins are injected, a Doppler ultrasound is always done to determine if there is an underlying deeper vein problem which must be treated first.

If underlying circulation problems are not addressed first, the sclerotherapy treatment will be ineffective and result in complications or a recurrence of the same veins.

For small spider veins, sclerotherapy rather than laser is the most effective type of treatment. Cosmetic sclerotherapy of tiny spider or feeding reticular veins is not covered by any health insurance unless the veins have bled in the past.

You may need several sclerotherapy sessions for a significant reduction in the number and appearance of your spider veins. Perfection is not a realistic goal.

Ultrasound Guided Sclerotherapy

Ultrasound-guided foam sclerotherapy is a vein treatment where a special foam called a sclerosant is injected into an unwanted varicose vein. The foam scars the inside of the vein. The injection is guided using ultrasound equipment for the treatment of varicose veins.

www.happellaser.com/ultrasound-guided-sclerotherapy

Sclerotherapy

When ultrasound guidance is performed, deeper abnormal varicose veins which cannot be seen on the surface of the skin can be treated. With the aid of ultrasound to help guide the needle into the vein, there is a greater chance of success and hitting the targeted vein.

With ultrasound guidance, injections into varicose veins can be done more efficiently when the patient is lying down or if the legs are elevated while the medicine is injected.

BTG is the number one manufacturer of an FDA approved proprietary foam sclerosing agent. They recommend that the legs be elevated during sclerotherapy to minimize the volume of blood in the leg and to maximize the surface contact of the foam with the vein wall.

Elevation of the leg empties the vein of its blood. If the patient stands during the injection, the sclerosant (injected medicine) becomes diluted by the blood in the dilated, bulging vein and the treatment is less effective.

As the sclerosant is injected, the doctor can watch the veins fill with the medicine on the ultrasound screen. Ultrasound helps the doctor know exactly how much medicine to inject to fill the veins completely.

Injecting too much medicine can result in the sclerosant reaching the deep (normal) veins in the leg can result in a blood clot.

The injected veins become inflamed at first. Blood is no longer able to flow through them. Eventually, the varicose vein seals closed and becomes absorbed by the body.

The number of veins that can be injected per session varies. There is a limit to the amount of sclerosant that can safely be injected per visit.

Most insurance companies also limit the number of vein treatments that can be done every three months to two treatments.

Depending on the type and number of veins being treated, you may have several injections per session. Normal activities can be resumed after sclerotherapy injections.

Your veins will start to fade away after a few weeks to months depending on the size and location of the treated veins. A compression stocking is recommended for a few days up to a week, sleeping in it only on the night of the treatment.

Sclerotherapy is the preferred treatment for small varicose veins and spider veins.

Take the next step, contact the Happel Laser and Vein Center today.

Take the next step, contact the Happel Laser and Vein Center today.

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Medical Accreditations

Dr. Happel is associated with several medical societies and accreditation groups.

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Medical Accreditations

Dr. Happel is associated with several medical societies and accreditation groups.

Read More ›

IAC Accreditation
RPVI
ACR
SVB
Certificate
American Medical Association