Art Medical Center

SCLEROTHERAPY

Minimally invasive varicose veins treatment. Sclerotherapy aims to close incompetent veins and to reduce blood volumes in lower limb surface venous vessels. Leads to a reduction in arterial blood pressure in surface vein systems. This has a beneficial effect on the skin and subcutaneous tissue of limbs and prevents late vein incompetency complications which include skin ulceration and also achieves an instant cosmetic effect. The most widely used chemical substance is polidocanol (Aetoxysclerol).

FOAM SCLEROTHERAPY

Foam sclerotherapy entails application of a chemical substance in the form of a foam into the changed vein. This leads to an inflammation within the vessel and around it and as a result - for such vessel to shrink and be excluded from blood circulation system.

RECOMMENDATIONS:

• small veins (spider veins and telangiectasias) - here sclerotherapy is the method of choice,
• large vessels outside of the great saphenous vein becoming varicose additional trunks, perforator veins) - in such cases sclerotherapy is performed once significant reflux is ruled out, which has to be corrected surgically (the decision on the type of treatment depends on the doctor’s experiences),
• varicose of the great saphenous vein - may be treated surgically and by sclerotherapy,
• varicose veins for the elderly
• for patients who do not consent to typical surgical treatment or with contraindications to surgery.

CONTRAINDICATIONS:

• allergy to the obliterating medium,
• connective tissue diseases,
• reoccurring thrombosis,
• local or systemic infection,
• patient becoming permanently immobile,
• pregnancy,
• acute lower limb ischemia.

PRE PROCEDURE TESTS

Doppler ultrasonography of lower limb veins.

THE PROCEDURE:

The procedure is carried out without anaesthetic, using thin needles. A dozen or so injections into varicose veins or telangiectasias are done in one session. In order to achieve a good cosmetic effect the procedure should be repeated. Often a number of times.

POST PROCEDURE RECOMMENDATIONS:

A pressure dressing is applied after the procedure. The patient should walk for up to 30 minutes. During that time the patient is not allowed to sit, stand still or lie down. The pressure dressing should be work for approx. 14 days. If any side effects appear contact a doctor.

COMPLICATIONS:

allergies, thromboemboliclesions, skin lesions (discolouring), skin necrosis.