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Chapter-09 Complications of Sclerotherapy

BOOK TITLE: Sclerotherapy in Dermatology

Author
1. Ferrariz Teresita S
2. Thaebtharm Agnes E
ISBN
9789352702060
DOI
10.5005/jp/books/18040_10
Edition
1/e
Publishing Year
2018
Pages
15
Author Affiliations
1. ISDS; PADSFI; Centuria Medical Makati, Kalayaan Ave, Makati City, Philippines
2. Philippine Academy of Dermatologic Surgery Foundation; Jose R Reyes Memorial Medical Center, Manila, Philippines
Chapter keywords
Sclerotherapy, injected vessel, ultrasonography, allergic reaction, edema, lymphedema, neurologic complication, thrombotic event, necrosis

Abstract

Successful sclerotherapy results to the sclerosis of the injected vessel. Over the past several years, alarming reports about the complications or adverse events of sclerotherapy have been published. Various mechanisms have been hypothesized. The safety of the method has been proven, with 0.22% and 0.57% of complications occurring after liquid and foam sclerotherapy respectively. Adverse events or complications are preventable and can be minimized by considering factors such as pharmacologic properties of the sclerosant, technique, venous anatomy, physiology and pathology, as well as individual comorbidities. The use of ultrasonography allows the adequate visualization of the vasculature and is most useful for recurrent and previously treated veins, as well as venous malformations.

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