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Subject: Clinical medicine


Year: 2025


Type: Article
Type: PeerReviewed



Title: Complications of great and small saphenous vein sclerotherapy: Case analysis and clinical recommendations


Author: Vasileva, Mirela
Author: Spoa, Dimitar



Abstract: Sclerotherapy is a widely accepted treatment for reticular veins and telangiectasias, but its use in major truncal veins such as the great saphenous vein (VSM) and small saphenous vein (VSP) remains controversial. This paper presents several clinical cases of patients who developed serious complications, including non-healing ulcers and chronic limb edema, following truncal vein sclerotherapy. We discuss the contraindications for sclerotherapy in these large superficial veins, the pathophysiological reasons for complications, and review current best practices for the management of varicose veins, including endovenous thermal ablation and surgical options. Sclerotherapy in major truncal veins remains controversial due to frequent complications and the short-term effect. Key words: Sclerotherapy, Varicose veins, Complications, Ulcers


Publisher: Our Dermatology Online


Relation: https://eprints.ugd.edu.mk/39379/



Identifier: oai:eprints.ugd.edu.mk:39379
Identifier: https://eprints.ugd.edu.mk/39379/1/17.Complications_20251121_V0.pdf
Identifier: Vasileva, Mirela and Spoa, Dimitar (2025) Complications of great and small saphenous vein sclerotherapy: Case analysis and clinical recommendations. Our Dermatology Online Journal, 17 (2). pp. 228-233. ISSN 2081-9390



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Complications of great and small saphenous vein sclerotherapy: Case analysis and clinical recommendations202512