The permanent eradication of ectatic veins while minimizing the incidence of adverse effects, minimizing patient discomfort, and treating the maximal number of veins during each session are goals of injection sclerotherapy. Accomplishing these goals requires more than skill at cannulation and injection into a vein. An understanding of the mechanism of action of sclerotherapy, and knowledge of lower extremity venous anatomy and hemodynamics are crucial. Insuring a satisfactory outcome also requires that the patient is thoroughly informed about the procedure and its possible risks. In addition to addressing these issues, this author presents the salient aspects of his pretreatment consultation, posttreatment recommendations, and appropriate documentation.
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