After ablation of the trunk veins, frequently their branches, the varicose veins, close up on their own. But sometimes, they don’t. In that case, we treat them with a procedure called sclerotherapy.
Sclerotherapy involves directly inserting a needle into these varicose veins and injecting something that cases the inside wall of the vein to become irritated. The vein then closes off.
Generally the agent injected is sotradecol. It comes as a liquid. Most doctors turn it into a foam solution by stirring it up with air. This foam coats the inside of the vein and helps break down the wall of the vein.
Details of the procedure
Sclerotherapy is much less involved than ablation.
- The patient lies down on the procedure table.
- The doctor places a very small needle inside the varicose vein, sometimes with the help of the ultrasound machine, sometimes with the help of a “vein light”.
- The doctor injects the foam.
- Sometimes the patient has to lay inclined on the table for a few minutes to prevent the foam from traveling beyond the varicose veins.
What happens after the procedure?
Generally, you need to wear the compression stockings for a fixed length of time. Here at VIP, we have our patients wear the stockings around the clock for 24 hours, and then anywhere from 3 to 7 days for 12 hours a day.