How does Ultrasound Guided Sclerotherapy work?
Ultrasound allows the doctor to visualise all the veins under your skin that need treatment, and to precisely guide a tiny catheter into the varicose vein. The first part of the title ultrasound guided refers to the fact that your doctors will use ultrasound to visual guide your treatment. This will allo for medicine to be precisely deposited into the right areas so that problems can be sealed shut.
The second part of the sentence refers to the medication type. A special medicine known as a sclerosing agent is can be injected veins which causes them to collapse and seal shut. The body then absorbs the vein into the surrounding tissue. After a number of weeks it disappears from view. At the same time blood is rerouted to healthier veins in the area which are deeper down.
What can I expect during the procedure?
Most patients will describe a very small amount of "stinging" pain owing to the medicines activity. Tiny fine needles are used to treat the varicose veins so it's often not the pain from the needle which is most worrying. The stinging pain will go away with walking after the procedure or with the application of compression stockings.
Is Ultrasound Guided Sclerotherapy the same as Foam Sclerotherapy?
Foam sclerotherapy simply means that the medicine is agitated or "mixed" with Room Air or CO2 to achieve a shaving cream like consistency. When used with the guidance of an ultrasound machine the procedure can be referred to as ultrasound guided foam sclerotherapy. The use of agitated or mixed medicine is a major advancement in vein treatment and improves treatment in two distinct ways:
First, the foam displaces blood within the vein, permitting the full strength of the sclerosing agent to be in direct contact with the vein wall for an extended period of time without any dilution effects.
Second, the foam is visible via ultrasound imaging and can be easily tracked and guided to the source of the venous problem. For large veins, foam is used with conjunction of the ultrasound machine.
Do I need a Medical Consultation?
All treatments will require a medical consultation. Like all medical procedures some risks do exist. The benefits and minor risks will be discussed during your first consultation before treatment with one of our doctors.
Ultrasound Guided Sclerotherapy Casestudy
Two sessions of sclerotherapy were performed. This picture was taken 6 weeks after the first treatment.