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Traditionally invasive surgery was required to remove these deeper veins, but with ultrasound guided sclerotherapy our medical professionals can accurately direct injections into the diseased veins whilst avoiding vital structures.
Ultrasound technology guides the placement and number of injections required according to the disease process which is not possible by treating the surface veins only. Namely the source of the pathology, the size of the vein and volume and concentration of sclerosant required and where the disease vein ends. The ultrasound is then used to assess the success of the treatment and guide any additional treatment if required. It is Dr. Lekich’s firm opinion that blind injections into a vein is not the highest standard of care.
Ultrasound guided sclerotherapy is not a blanket cure for varicose veins, and as such it cannot prevent the development of new varicose veins over time. That said, treating existing damaged veins will slow down the development of varicose and spider veins.
It is important to realise that successful and safe sclerosant injection into a vein is more than just targeting the surface pathology. Detergent sclerosants have been available for 70 years however how they interact with the blood and vein wall is now becoming clearer by recent research. One prominent international researcher is Australian Associate Professor Kurosh Parsi in Sydney who was Dr Lekich’s supervisor for his fellowship training. This research has changed Dr. Lekich’s approach to fine tune ultrasound guided sclerotherapy which is one of the cornerstones of modern non-surgical/ non-stripping treatment approaches of varicose vein management.
Endovenous laser ablation (EVLA) and Ultrasound Guided Sclerotherapy (UGS enables safe and effective treatment of the most complex and severe varicose veins and is not a temporary cosmetic solution for varicose veins. This treatment modality is not mainstream knowledge by general practitioners, general surgeons and vascular surgeons.