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Sclerotherapy

  • Only suitable for below knee varicose veins
  • Need to exclude SFJ or SPJ incompetence
  • Main use is for persistent or recurrent varicose veins¬†after adequate saphenous surgery
  • Sclerosants
    • 5% Ethanolamine oleate
    • 0.5% Sodium tetradecyl sulphate
  • Needle placed in vein when full with patient standing
  • Empty vein prior to injection
  • Apply immediate compression and maintain for 4-6 weeks
  • Do not exceed maximum volume
  • Injection about 5 sites possible
foam-sclerotherapy

Complications of sclerotherapy

Recurrent varicose veins

Reasons for recurrence

Inaccurate clinical assessment

Inadequate primary surgery

Injudicious use of sclerotherapy

Neovascularisation

Dr. Pankaj Patel a vascular surgeon has expertise in peripheral vascular diseases, varicose veins and deep vein thrombosis