Echosclerotherapy or Ultrasound Guided Sclerotherapy is an in-office technique of injecting larger veins that are not visible through the skin. The vein is visualized on an ultrasound screen. Ultrasound imaging is used to guide a needle into the abnormal vein and inject a sclerosant which destroys the inner lining of the vein and seals it shut.
Echosclerotherapy is often used with larger veins that are too tortuous to treat with a laser or in combination with laser treatments. It is our treatment of choice for treating “neovasularization” – a common cause of recurrent varicose veins after a previous vein stripping. Several treatments may be required to treat a vein. At The Vein & Esthetic Center, we use foam sclerosant for echosclerotherapy. The foam is more effective, and we can use a higher volume of sclerosant, we can also follow the flow of the sclerosant with a duplex scan much better, so it is safer.