[Sclerotherapy of vascular ectasias of the lower extremities]

The authors treated a group of 138 female patients with injection solutions of Aethoxysklerol Fy Kreussler (SRN). They performed both the direct method of sclerotherapy by intravascular administration of the concentrations of 0.5 and 1%, and indirect method of sclerotherapy by intracutaneous administration of the concentration of 0.5%. The majority of patients were treated by both methods in the presented concentrations. The intravascular method has proved to be the most effective. This method yielded a very good homogenous result without recurrences in the site of sclerotization. The intracutaneous method yielded a less homogenous result and the recurrences occurred most frequently in the site of sclerotization in the focus. The therapeutic effect was evaluated after 1 year. After this period a good therapeutic effect was achieved in 57.97% out of 138 patients. In the third year a good therapeutical effect was achieved in 46.77% out of 62 patients. In the fifth year a good therapeutical effect was achieved in 50% out of 14 patients. Three patients were treated for the period of 10 years with a satisfactory effect. Significant side effects included focal hyperpigmentation of the skin (12 times), urticarial allergic reactions (3 times), and necrosis of the skin in two cases. Sclerotization of vascular cutaneous ectasies by means of the preparation Aethoxysklerol Fy Kreussler (SRN) is an appropriate and effective supplementary cosmetologic therapeutic method. (Tab. 1, Ref. 20.)