Sclero Live: Injection Pearls From A Hands-On Demonstration
Live Injection Technique And Visualization Tools
Faculty perform real-time sclerotherapy on volunteer patients while comparing visualization aids, including a polarized headlamp, transillumination light, an augmented reality projector, and a handheld vein viewer. Presenters debate needle gauge, syringe size, massage technique after injection, and choosing foam versus liquid by vein size. Ultrasound guidance is shown for lateral thigh feeder veins that are hard to see directly.
Screening, Safety, And Foam Physiology
Presenters review a screening checklist covering anticoagulant use, pregnancy, migraine history, and patent foramen ovale before deciding whether foam is appropriate. One faculty member argues foam-related migraine risk relates to endothelin release rather than bubble volume, while others favor liquid sclerosant in migraine patients as a precaution.
Practice Logistics And Follow-Up
The panel compares pricing by vial volume versus time, compression duration from none to two weeks, and anxiety options such as nitrous oxide sedation. A recurring emphasis is scheduling a leg-check visit or text check-in three to four weeks after treatment to remove retained coagulum before it causes hyperpigmentation, and limiting sun exposure until bruising resolves.
