Veins – Sclerotherapy

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Millions of patients are affected by unattractive spider veins and varicose veins and these can worsen over time. There is a very predictable, painless, and reliable procedure to cure these forever. The very best product for this is a liquid chemical agent called Asclera® (polidocanol). This Injection is a prescription medicine that is used in a procedure called sclerotherapy to remove uncomplicated veins on your legs. Asclera is administered through extremely small needles directly into the vein by a highly skilled nurse. The solution irritates the vein lining causing spasm and then no flow and the blood clots and dissolves or occasionally removed. This is done to treat uncomplicated spider veins (very small varicose veins < 1 mm in diameter) and uncomplicated reticular veins (small vericose veins 1 to 3 mm in diameter). There is a period of dark coloration in the vein due to the clotted blood which then resolves, and the vein turns to scar tissue and disappears. On occasions, a small opening is made in the vein and the clot is pushed out. Healing is comfortable and painless. The procedure can be offered in stages.

A typical sclerotherapy session lasts 15 to 45 minutes. One injection is usually administered per inch with multiple injections per session. Following treatment compression stockings or support hose should be worn continuously for 2-3 days and for 2-3 weeks during the daytime. Repeat sessions may be necessary. If additional treatment sessions are required they are usually repeated by 1-2 weeks.

After being treated with Asclera®?

Maintain graduated compression
  • 2-3 days after treatment of spider veins
  • 5-7 days after treatment of reticular veins
  • For extensive varicosities, longer compression treatment is recommended
  • Post-treatment compression is necessary to reduce the risk of deep vein thrombosis.
Encourage walking
  • 15-20 minutes immediately after treatment
  • Daily for a few days
  • For two to three days following the treatment, avoid:
  • Heavy exercise
  • Sunbathing
  • Long plane flights
  • Hot bath or sauna
Side effects to Asclera® treatments may include:
  • Severe allergic reactions have been reported following polidocanol use, including anaphylactic reactions, some of them fatal. Severe reactions are most frequent with use of larger volumes (> 3 mL). The dose of polidocanol should therefore be minimized. A doctor should be prepared to treat anaphylaxis appropriately.
  • In rare cases, formation of small “burns” or ulcers form, usually due to leakage of Asclera®into the skin. They heal in time, but may leave a scar.
  • Inadvertent perivascular injection of Asclera®can cause pain. If pain is severe, a local anesthetic (without adrenaline) may be injected.

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