Hemodynamically guided variceal sclerotherapy

Simpler cases can be resolved without surgical procedure through injection or laser vein focus of the problem. Patients who do not have a large number of dilated veins, who have little saphenous involvement or who have already had varicose veins may benefit.

The procedure initially consists of a diagnostic examination to define where the flow that is overloading the veins comes from. Followed by a direct injection into the vein responsible for the problem. Many times the elimination of the hemodynamic source of the blood already wilts good part of the veins.

In cases in which the veins do not wilt what is necessary for cosmetic result, we continue with laser and sclerotherapy in the collaterals.

Unfortunately some cases may not respond well to the injection and need surgery later.

Understand the principle of fractionation to treat varicose veins.