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Phlebologie 2020; 49(04): 204-210
DOI: 10.1055/a-1195-4262
Review

Sclerotherapy – How to Achieve a Spectacular Outcome

Sklerotherapie – Wie man spektakuläre Ergebnisse erzielt
Margaret W. Mann
  Department of Dermatology at Case Western Reserve University, Cleveland, OH. Innova Dermatology, Hendersonville, TN
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Abstract

When performed correctly, sclerotherapy results in fibrous occlusion that is not amenable to recanalization. Paramount to success is adequate contact time of a sclerosant to the endothelial cells to cause sufficient damage to the vein while minimizing side effects. To optimize sclerotherapy results, one needs to choose the right patient and the right vein and then use the proper sclerosing agent and injection techniques. This paper will review current literature on sclerotherapy, as well as tips and tricks to optimize outcome and minimize complications.

Zusammenfassung

Bei korrekter Durchführung erzeugt die Sklerotherapie einen bindegewebigen Verschluss, der nicht rekanalisiert werden kann. Entscheidend für den Erfolg ist eine Kontaktzeit zwischen Sklerosierungsmittel und Endothelzellen, die ausreichend ist, um die Vene mit geringstmöglichen Nebenwirkungen hinreichend zu schädigen. Für optimale Ergebnisse der Sklerotherapie ist es erforderlich, den richtigen Patienten und die richtige Vene auszuwählen und dann geeignete Sklerosierungsmittel und Injektionstechniken anzuwenden. Dieser Artikel gibt einen Überblick über die aktuelle Literatur zur Sklerotherapie und umfasst Tipps und Tricks für eine Optimierung der Ergebnisse und Minimierung der Komplikationen.

Key words

sclerotherapy - telangiectasia - spider veins - foam sclerotherapy

Schlüsselwörter

Sklerotherapie - Teleangiektasie - Besenreiser - Schaumverödung


Publication History

Article published online:
09 July 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

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