Months ago I had sclerotherapy for a small reticular vein/two small areas of spider veins (1x3 ,1x2) with 3ccs of 3% & diluted 3% sotradecol.I have had about 15 treatments with sotradecol in the last 20 years-no problems.This time I developed tissue necrosis & ulceration.Am now left with dark spots/scar pits.Doctor says that this happened with several patients-thinks the vendor mixed the solution wrong (but he diluted it in the office in front of me). Doctor unwilling to folow up. Suggestions?
October 29, 2014
Answer: Post-Sclerotherapy Tissue Necrosis The most common cause of tissue necrosis after sclerotherapy is extravasation of the solution outside the vein being treated. This can happen with any kind of solution- sotradecol, polidocanol, saline- and rarely related to the way in which the solution was compounded, or prepared. One other possibility is using a solution that is too concentrated (too strong) for the size vein (eg using 3% sotradecol in a spider vein), or injecting the solution with too much force. The doctor was only preparing the solution in front of you by mixing it with saline (0.9%) or sterile water to dilute the solution.
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October 29, 2014
Answer: Post-Sclerotherapy Tissue Necrosis The most common cause of tissue necrosis after sclerotherapy is extravasation of the solution outside the vein being treated. This can happen with any kind of solution- sotradecol, polidocanol, saline- and rarely related to the way in which the solution was compounded, or prepared. One other possibility is using a solution that is too concentrated (too strong) for the size vein (eg using 3% sotradecol in a spider vein), or injecting the solution with too much force. The doctor was only preparing the solution in front of you by mixing it with saline (0.9%) or sterile water to dilute the solution.
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October 24, 2014
Answer: Sclerotherapy can cause skin ulcerations. Sclerotherapy with any solution can cause tissue necrosis and this is usually due to escape of the sclerosing solution into the skin and outside of the vein. The stronger the concentration of the solution the greater the risk of a problem. Fortunately tissue necrosis and ulceration is not a common problem.
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October 24, 2014
Answer: Sclerotherapy can cause skin ulcerations. Sclerotherapy with any solution can cause tissue necrosis and this is usually due to escape of the sclerosing solution into the skin and outside of the vein. The stronger the concentration of the solution the greater the risk of a problem. Fortunately tissue necrosis and ulceration is not a common problem.
Helpful 1 person found this helpful
