Sclerotherapy for Varicose and Spider Veins
A special category of veins that are treated very effectively in this way is the spider veins or small varicose veins . Sclerotherapy hardening drugs into their lumen. No anesthesia is not required and treatment is done in sessions in the office. The infusion of the hardener essentially causes an irreversible chemical trauma of the endothelium (ie the inner wall of the veins), thereby closing their lumen.
In the very small - almost capillary - veins, the hardener of a liquid solution is directly infused. In larger varicose veins, the treatment of infusion of the hardener in foam for better results. The foam is mixed with the hardening drug with air.
Treatment is primarily in the cold months to avoid heat complications and immediate sun exposure. The main contraindications to the treatment are pregnancy, lactation, thrombophilia, severe peripheral arterial disease, as well as the use of contraceptives (hormone therapy). A relative contraindication are diabetes mellitus, anticoagulant treatment and allergic bronchial asthma.
In the case of numerous veins the treatment is done in more than one sessions that are at least 2 weeks apart from each other. This is because the maximum safe dose of the hardener that can be used in a session is specific. The great advantages of treatment are the lack of anesthesia use and the immediate return of the patient to their daily lives.
A very basic prerequisite for the onset of this treatment is to have a thorough clinical and ultrasound test of the superficial and deep vein of the lower extremities and that thrombosis or deficiencies have been ruled out.