Sclerotherapy off the Lower Extremities: A Single-Center Retrospective Study of Veins Treated on the Dorsal Hands and

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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

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Kritin K Verma1, Malvika Ramesh1, Megan Nguyen1

  • 1Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|August 22, 2023
PubMed

Insights

Foam sclerotherapy effectively treats cosmetic dorsal hand and chest veins. This safe procedure resulted in mild, temporary side effects and significant patient improvement.

Area of Science:

  • Dermatology
  • Vascular Medicine
  • Cosmetic Procedures

Background:

  • Limited research exists on the safety and efficacy of treating cosmetic veins on the dorsal hands and chest/breast.
  • Dermatological concerns regarding visible veins often prompt patients to seek treatment.

Purpose of the Study:

  • To retrospectively evaluate the outcomes of foam sclerotherapy for cosmetic dorsal hand and chest veins.
  • Assessing the safety and effectiveness of sclerotherapy for these specific anatomical areas.

Main Methods:

  • A retrospective chart review was conducted for patients treated between January 2014 and April 2023.
  • Fifty-five patients (41 dorsal hand, 14 chest) received foam sclerotherapy using sodium tetradecyl sulfate or polidocanol.
  • Treatment outcomes and adverse events were analyzed.

Main Results:

  • Most patients received 1-2 treatment sessions.
  • Coagulum formation occurred in 15.2% of dorsal hand sessions and 3.0% of chest sessions.
  • Adverse events like induration, edema, and hyperpigmentation were infrequent and mild; no serious complications were reported.

Conclusions:

  • Foam sclerotherapy using detergent agents is a safe and effective treatment for cosmetic dorsal hand and chest veins.
  • The procedure is associated with mild, self-limiting adverse events.
  • Significant clinical improvement was observed in a majority of patients.
Abstract

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