Foreseeable Evolution in Sclerotherapy

Sclerotherapy is performed in virtually every phlebology practice daily. It is a pillar of current varicose veins management. Practising phlebology without sclerotherapy is like using a table with one leg missing! Sclerotherapy is a safe and effective treatment method of chemically ablating troublesome refluxing superficial leg veins, and also unwanted cutaneous reticular and spider veins and to treat venous malformations. Liquid or foamed sclerosants cause destruction of the endothelial vein lining, with possibly damage also to the media, producing vein spasm, fibrosis and eventual sclerosis. I prefer to think of it as more of an art form than a science, and heavily dependent on the patient’s response to what is injected.