Advances in Sclerotherapy Treatment of Varicose and Telangiectatic Leg Veins

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Abstract
Sclerotherapy as a treatment for varicose veins originated in the 1800s. Unfortunately, experience with this treatment modality has been fraught with complications and failures. Recent interest by the general public in this form of treatment has uncovered a lack of formal training and protocols within the medical establishment. Nevertheless, recent experience with sclerotherapy has been found to be more positive than previously realized. Three “advances” in sclerotherapy treatment for varicose and telangiectatic leg veins have occurred within the last 20 years. We term these “advances” not because they are new, but because they are newly popular—proper diagnosis prior to treatment; optimal choice of sclerosing solutions and concentrations; and ideal compression techniques to limit sclerophlebitis, recanalization and complications. These advances will be detailed in the following paper.