In expert hands nearly any vessel can be treated with traditional sclerotheray techniques, but it is more difficult to treat larger vessels, vessels with a high-grade source of reflux and vessels that lie beneath the surface of the skin. Failures can be due to incorrect assumptions about the patterns of flow or incorrect placement of the delivery catheter or needle.
Direct ultrasound visualization offers an alternative to "blind" sclerotherapy with one very important advantage: after a treatment under direct visualization, there can be no doubt that slerosant has been delivered where it is intended, and that all areas of reflux have been exposed to the sclerosing solution. Injection with direct ultrasound visualization requires high-quality images of the vascular system and surrounding tissue. Dr. Kovak has the most up to date ultrasound equipment to give the highest visualization of the problem vessels that are causing your varicose veins.
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