Sclero Now: An Entry-Level Guide To Sclerotherapy Practice

Anatomy And Finding The Feeder Vein

The session began with telangiectasia patterns, from simple linear veins to true corona phlebectatica, stressing that spider veins almost always drain into a deeper feeding vein, so treatment starts there rather than the visible surface vessels. Illumination devices trace these connections, and refractory veins near the groin suggest a pelvic or perforator source.

Choosing An Agent And Injection Technique

Polidocanol and sodium tetradecyl sulfate, liquid or foam, remain the mainstay sclerosants, with concentration and needle scaled to vein size: fine 30 to 32 gauge needles and lower concentration for spiders, larger needles and higher concentration for reticular veins. Foam increases potency and coverage but must be injected within a minute of mixing, and both carry a small risk of anaphylaxis, thrombosis, and air embolism in patients with a PFO.

Managing Complications And Building The Practice

Hyperpigmentation and matting are the most common complications, more likely in darker skin types and treated mainly through prevention: correct concentration, avoiding overtreatment, and photoprotection. The day closed with steps for building a practice: IAC accreditation, staffing, insurance workflows, patient consent, and post-procedure education.