This practical how-to guide explains and illustrates the most effective sclerotherapy techniques, beginning with the approach to the patient with varicose or telangiectatic veins and what to look for during the initial physical exam. The chapters then present up-to-date coverage on anatomy, non-invasive texting, and basic concepts and methods of treating varicose, varicosed reticular, and teangiectatic veins. The book also discuses how to minimize complications, how to treat varicose veins by leg region, and alternatives to sclerotherapy as well as performing sclerotherapy on body areas other than the legs.
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Part I: Background. The Spectrum of Venous Disease. Venous Anatomy. Histology. Venous Physiology and Pathophysiology. Common Patterns of Abnormal Veins. Part II: Diagnosis. History and Physical Exam. Common Clinical Presentations. Continuous Wave Doppler. Other Tests for Venous Evaluation. Venous Imaging/Duplex Ultrasound. Treatment. Patient Education and Informed Consent. Treatment of Large Varicose Veins. Treatment of Small Veins. Sclerosing Solutions. Compression. Veins at Other Sites. Facial Veins. Contraindications and Other Considerations. Duplex Ultrasound Guided Sclerotherapy. Lasers and High Intensity Pulsed Light. Surgery for Truncal Varicose Veins. Ambulatory Phlebectomy. Radiofrequency Mediated Endovenous Occlusion. Problems. Minimizing and Treating Complications. Thrombophlebitis and Venous Thromboembolism. Non-Healing Ulcers. Practice. Outfitting the Phlebology Practice. Appendix A: Forms. Appendix B: Manufacturers & Distributors. Appendix C: Terminology & Codes. Index.
