Ultrasound guided sclerotherapy has revolutionized the way that sclerotherapy is and can be utilized in the secondary treatment of venous insufficiency. For years surgical and non-surgical procedures relied on the physicians physical examination of the lower leg to perform secondary treatments after endovenous ablation. Now ultrasound is used to actually visualize the needle being placed in the vein and the medicine is actually visually verified closing segments. By closing these deeper tributaries of the saphenous veins increases the likelihood of long term results.
Just like in typical sclerotherapy a solution is injected to damage the wall of the vein to be treated. The only difference is ultrasound allows for visualization of all of the branches that are not visible to the naked eye or even special lights.