The amount of compression following sclerotherapy of telangiectasias and reticular veins is a controversial issue. Theoretically, this will help to improve results and minimize side effects such as post-sclerotherapy discomfort, edema and pigmentation. Using fashion support stockings which provide 15-20mmHg compression is a secondary choice in patients who will not tolerate the above Class I prescription compression. Walking, riding bicycles and low-impact aerobics are ideal exercises following sclerotherapy. A full consent should be signed prior to beginning treatment.
Materials employed in the treatment of telangiectasias and reticular veins are relatively simple.
Because successful sclerotherapy resulting in panluminal endofibrosis can take up to 6 weeks, it is recommended that treatment sessions should not be repeated for at least this interval of time. There are four basic techniques which may be employed to treat telangiectatic and reticular veins. Note that the vein may collapse if aspiration is too strong. Air Bolus Technique Injection of 0.5cc of air prior to introduction of sclerosant will displace the blood in the vein. Once intravascular access is confirmed, the sclerosant can be safely injected.