ESCLEROTERAPIA PARA VARICES PDF

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The Journal publishes Original and Review articles, as well as those on continuing education, Scientific Letters and Images, Letters to the Editor, Abstract Reviews, and Special Articles, with all of them being subjected to a double-blind peer review system. Angiology accepts and reviews articles for publication received from Spain and Latin American countries. CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

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What is Slerotherapy treatment? Sclerotherapy is the most effective and common spider vein treatment. It is the process of injecting a special solution directly into the small spider vein. The solution irritates the lining of the vein wall and causes it to stick together and close. The closed spider vein scars and eventually disappears. This spider vein treatment is relatively painless and has few serious side effects. Sclerotherapy works best on little veins of about mm in diameter. But spider vein treatment is not for everyone.

Some patients want sclerotherapy to resolve spider veins that may be a result of a vein disease called venous insufficiency. The purpose is to evaluate whether the spider veins are suitable for sclerotherapy treatment. We do not recommend sclerotherapy spider vein treatment for women who are pregnant. We suggest that you wait until after childbirth. Read our blog article on Pregnancy and Vein Treatment. Patients with experience of blood clots should seek further evaluation before treatment.

The San Francisco Vein Center uses Sotradecol for its effectiveness without producing much pain beyond stinging. Sotradecol is an FDA-approved agent and is in use extensively for spider vein elimination. It generally hurts much less than traditional hypertonic saline injections and has very good results. Read our comparison of sclerotherapy solutions. Sclerotherapy treatment is a minor in-office procedure that causes minimal pain. Spider veins are treated with very tiny needles.

During the procedure the patient feels a tiny prick and perhaps some stinging rather than a painful injection. If you have an unusually low threshold for pain or are unusually adverse to needles, then sclerotherapy may not be suitable for you.

We sell them at a discounted rate in our office and have certified fitters to assure the correct sizing and to show you how to put them on correctly. We give a prescription for compression stockings at the initial consultation. Compression is absolutely essential to achieving a good cosmetic result after sclerotherapy. If spider veins are also in the thighs or on the backs of the knees, thigh high stockings will provide the best results.

If they are only on the calves, then knee-high stockings are sufficient. The patient should wear the stockings for 24 hours straight after the spider vein treatment. Then they are worn every day all day for about 3 weeks. Night time use is not necessary. Sclerotherapy often causes bruising for several weeks. Assessing the success of the spider vein treatment is possible only after the bruising disappears and the veins heal and disappear.

For this reason, we recommend patients schedule sessions several weeks apart. Patients should expect a worse appearance during healing as it is absolutely normal after treatment. Other side effects can be redness around the injection sites and itching.

These effects commonly last for no longer than a few days. Some patients may experience brown spots or lines. This is less common and typically disappears after a few days. However, they can remain indefinitely. The average patient will see a difference after the first treatment, but it often takes two or three treatments to see a big difference.

Sclerotherapy is the best, but is not a guaranteed spider vein treatment. It is important to understand that multiple treatments are often necessary for optimal results but some patients may still not have positive results. This is why we recommend an evaluation before receiving treatment. Insurance companies consider sclerotherapy a cosmetic procedure and typically do not cover it.

One exception is when a patient has venous insufficiency. Most patients with venous insufficiency have a vein ablation procedure. After the procedure it is sometimes possible that insurance companies will pay for spider vein treatment as well. Not all patients are candidates. Sometimes it is necessary to run tests before the procedure. If you are not sure sclerotherapy is the treatment you need, we strongly suggest that you schedule a separate consultation prior to scheduling and appointment for the procedure.

San Francisco Vein Center. Candidates for sclerotherapy Sclerotherapy works best on little veins of about mm in diameter. The procedure Sclerotherapy treatment is a minor in-office procedure that causes minimal pain.

Side effects Sclerotherapy often causes bruising for several weeks. Number of sessions and success rates The average patient will see a difference after the first treatment, but it often takes two or three treatments to see a big difference.

Insurance coverage Insurance companies consider sclerotherapy a cosmetic procedure and typically do not cover it.

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Se comenta la experiencia sobre 50 pacientes con malformaciones vasculares venosas o de bajo flujo, tratadas con esta nueva forma de esclerosante. Palabras clave. Traditional sclerotherapy with liquid sclerosants has been used for many years in the treatment of venous, lymphatic and low flow vascular malformations; it is efficient only with those vascular malformations of reduced size as a pre or post-operational complement. The use of liquid sclerosants has the limitations of their dilution and progressive inactivation in a great haematic volume, the irregular distribution of the sclerosant on the endothelium, the handling of the sclerosant once injected and its imperceptibility to the echo-Doppler. On the contrary, the use of sclerosants, specifically polidocanol in microfoam form, significantly improves the procedure, since the microfoam displaces the blood instead of mixing and diluting itself in it, thus facilitating an homogeneous distribution of the sclerosant over the endothelial surface. Finally, the echogenicity of the microbubbles, which makes them directly visible, together with their manageable consistency, means that it can be distributed more easily throughout the treated area.

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