Sclerotherapy Treatment Perth

Sclerotherapy Treatment Perth

Sclerotherapy Treatment Perth is injection treatment of varicose veins. It involves injecting the abnormal veins with a sclerosing solution, which irritates the inner lining of the vein, causing it to close. Over a period of weeks and months the veins close off and disappear. Treated veins fade gradually, over a period of 1-6 months. Sclerotherapy is suitable for most patients.

Sclerotherapy is most commonly used to treat surface veins and has been used with safety and success since the 1930’s. The treatment is a non-surgical procedure, performed at our clinic with no anaesthesia required. Sclerotherapy Treatment Perth can be used to treat various sizes of veins, using a very small, fine needle.

Types of Sclerotherapy: Direct vision sclerotherapy and Ultrasound guided Sclerotherapy ( UGS).

Direct Vision Sclerotherapy is the treatment of small spider veins using injections of a solution (sclerosant) that causes the veins to close and be absorbed. This procedure is well- tolerated and does not require any anaesthetic. This treatment takes approximately 30 -60 minutes, and you may need from 1 to 3 treatments per leg, depending on your diagnosis.

Ultrasound Guided Sclerotherapy (UGS) uses ultrasound to precisely locate the abnormal veins as well as the adjacent structures, such as deep veins and arteries. The doctor injects a precise amount of the solution into the abnormal vein while watching the injection on an ultrasound monitor, enabling real-time visualisation and tracking of the solution. This ensures that the sclerosant is delivered to the vein rather than to the adjacent structures, increasing the safety and success of the procedure.

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The Sclerotherapy procedure

  • Get somebody to drive you back home after the procedure as you would be having compressive dressings, and you might feel uncomfortable to drive with pain and discomfort from the procedure.
  • On the day of your treatment, do not apply moisturiser to your legs.
  • Wear slacks or loose trousers, and sandals or loose shoes to the clinic to allow for the thickness of the stockings.
  • If you are taking any type of anti-coagulants ( Blood Thinners ), the medications should be continued without stop. Please discuss this with the doctor.
  • It is important not to schedule long distance flight for more that 4 hours for 4 weeks after the procedure. If you have to travel due to any reason, then please discuss with doctor who can prescribe you anti-coagulants.

Procedure

The solutions used are sclerosants including Sodium Tetradecyl Sulphate (Fibro-Vein) and Polidocanol (Aethoxysklerol). The sclerosants are available as liquid but for large veins injected under ultrasound, we may use the sclerosant as a foam. The doctor will make up the foam during the procedure. Using the product in foam form, rather than liquid, is an off-label use of the product. However, international experience and research shows that using the sclerosant in foam form, rather than liquid, is a safer and a more effective option for the treatment of large veins injected under ultrasound.

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Risks and Complications:

  • Bruising ( almost always after the procedure ) heals with in few weeks.
  • Skin Staining ( Brownish discolouration of the skin along the veins ) happens up to 40% of the cases and usually disappears in few months but sometimes ( <10% ) can stay for longer.
  • Skin ulceration ( <1% ) which in worst instance may require skin graft.
  • Superficial Thrombophlebitis happens when the treated veins can become sore. This can be treated and usually settles in few weeks.
  • Infection ( <1% )
  • Relapse or recurrence of varicose veins. Can happen in 20-30% in 5yr which may require further treatment.
  • Deep Vein Thrombosis ( DVT ) with potential pulmonary embolism( PE ) is rare ( <1%).
  • Swelling of the treated legs which could happen in up to 5% of people and this may become permanent. The cause is unknown.
  • Stroke very rare ( <0.1%)
  • Migraine ( <5%)

Post Procedure:

It is recommended to get someone to drive you back after the procedure, as the pain, discomfort from the procedure and dressings / stockings on the legs may not make it safe for you to drive.
It is recommended to walk at least 30mins daily, even on the day of the procedure.

You can take simple pain tablets like Paracetamol or Ibuprofen after the procedure as you need for your pain or discomfort.

You always can call the practice for telephone advice if you have any concerns.

Why visit Vein Care WA
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Phlebology ( Training in Vein Diseases )

  • 2024 Advanced Training in Phlebology. Aus College of Phlebology
  • 2022 Certificate of Sclerotherapy. Aus College of Phebology
  • 2024 Certificate of Lower limb Ultrasound. ASUM
  • 2021 Laser Safety Officer.

Skin Cancer Training

  • 2017 Diploma in Skin cancer surgeries
  • 2016 Advanced Certificate in Skin ca surgeries
  • 2015 Certificate in Dermatoscopy
  • 2015 Basic Certificate in Skin Ca surgeries

Surgery and related training

  • 2017 Diploma in Skin cancer surgeries
  • 2016 Advanced Certificate in Skin ca surgeries
  • 2015 Certificate in Dermatoscopy
  • 2015 Basic Certificate in Skin Ca surgeries

General Practice & others

  • 2010 Membership of Royal College of GPs of London
  • 2014 Fellowship of Royal Australian College of GPs
  • 2023 Advanced Life Support

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Sclerotherpy of Varicose Vein

Phlebology ( Training in Vein Diseases )

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