16, 2, 2024

What is Varithena injectable foam treatment?

2024-03-06T13:53:32-08:00

Unveiling Varithena: Advancing Vein Health Through Injectable Foam Treatment

In the landscape of contemporary vein treatments, Varithena (ablation procedure) stands out as a revolutionary solution for managing varicose veins within the great saphenous vein system (GSV). This prescription medication offers a non-thermal, non-tumescent, and nearly painless approach to vein treatment. In this piece, we’ll delve into the intricacies of Varithena®, its efficacy, and what patients can anticipate on the treatment day.

Understanding Varithena®: Your Pathway to Vein Health

Varithena® employs a “microfoam” formulation comprising polidocanol (sclerosing agent) and CO2 to address superficial venous incompetence and visible varicosities linked to the great saphenous vein system. Skillfully injected into the vein under ultrasound guidance, the microfoam displaces blood and efficiently eliminates the endothelial lining via ablation.

The Benefits of Varithena®:

Tailored Approach: Varithena® recommendations are tailored based on vein location, size, anatomy, and tortuosity, effectively treating veins above and below the knee of varying sizes.

Minimally Invasive: This treatment necessitates no incisions, sedation, or general anesthesia, enhancing patient comfort during the procedure.

Non-Invasive Technique: Unlike other methods, Varithena® doesn’t involve inserting a wire along the length of the vein, reducing associated discomfort.

Heat-Free Process: Varithena® avoids heat application, ensuring no risk of thermal injury during the treatment.

Treatment Frequency and Response: A Detailed Overview

The number and frequency of Varithena® treatments are contingent on individual anatomy, vein response rate, and treatment objectives. While larger or resistant veins might necessitate two treatments for a complete response, many veins typically respond well after a single session. The treatment process is cautiously managed to mitigate potential side effects.

On the Day of Varithena® Treatment: What to Expect

Preparing for your Varithena® ablation treatment is simple:

Consent and Attire: You’ll sign a consent form and change into provided shorts.

Skin Preparation: Your skin will be cleansed with alcohol, and ultrasound will locate the veins for targeted treatment.

Injection Process: The foam medication will be skillfully injected into your veins using a fine needle. The foam effectively fills and treats the designated vein section, leading to vein collapse and deactivation.

Recovery Period: You’ll elevate your legs on a comfortable wedge pillow for about 15 minutes post-treatment.

Compression Stockings and Walking: Following treatment, compression stockings will be applied, and you’ll walk for 30 minutes before departure.

Varithena® marks a significant stride in vein health, presenting a swift and effective method for managing varicose veins. At La Jolla Vein & Vascular, our proficient medical professionals are committed to providing personalized care throughout your vein health journey. By embracing advanced solutions like Varithena®, you’re embarking on a confident path toward healthier, pain-free legs and improved well-being.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

What is Varithena injectable foam treatment?2024-03-06T13:53:32-08:00

24, 11, 2023

Chemical Ablation: A Breakthrough Procedure for Vascular Health

2023-10-10T15:27:31-07:00

Chemical Ablation: A Breakthrough Procedure for Vascular Health

Revolutionizing Vein Health with Varithena®: The Injectable Foam Chemical Ablation Treatment

In the contemporary realm of vein treatments, Varithena®, a remarkable ablation procedure, emerges as a transformative solution for dealing with varicose veins within the great saphenous vein system (GSV). This prescription medication presents a non-thermal, non-tumescent, and virtually painless approach to vein treatment. In this article, we embark on an in-depth exploration of Varithena®, its effectiveness, and what awaits you on the day of treatment.

Cracking the Varithena® Code: Your Gateway to Vein Health

Varithena® employs a specialized “microfoam” formulation consisting of polidocanol (a sclerosing agent) and CO2 to target superficial venous incompetence and visible varicosities associated with the great saphenous vein system. The microfoam is skillfully injected into the vein under the guidance of ultrasound, displacing blood and efficiently obliterating the endothelial lining through chemical ablation.

The Perks of Varithena®:

Tailored Treatment: Varithena® recommendations are individualized, accounting for factors such as vein location, size, anatomy, and tortuosity. It effectively addresses veins of various sizes, both above and below the knee.

Minimally Invasive: This treatment is incision-free, sparing you the need for sedation or general anesthesia, thereby enhancing patient comfort.

Non-Invasive Approach: Unlike some other techniques, Varithena® does not necessitate the insertion of a wire along the length of the vein, eliminating associated discomfort.

Heat-Free Method: Varithena® refrains from utilizing heat, eliminating any risk of thermal injury during treatment.

Frequency of Treatment and Response: A Deeper Insight

The number and frequency of Varithena® chemical treatments are tailored to individual anatomical factors, the rate of vein response, and the desired treatment outcomes. While larger or more resistant veins might necessitate two treatments for a comprehensive response, many veins exhibit favorable results following a single session. The treatment process is carefully managed to mitigate potential side effects.

On the Day of Varithena® Treatment: What to Anticipate

Preparing for your Varithena®  chemical ablation treatment day is a straightforward process:

  • Consent and Attire: You will complete a consent form and change into the provided shorts for your comfort.
  • Skin Preparation: Your skin will be meticulously cleaned with alcohol, and ultrasound will be used to precisely locate the veins that require targeted treatment.
  • Injection Process: The foam medication will be gently injected into your veins using a fine needle. This innovative foam effectively fills and treats the designated vein section, leading to vein collapse and deactivation.
  • Recovery Period: You will elevate your legs on a comfortable wedge pillow for approximately 15 minutes post-treatment.
  • Compression Stockings and Walking: After the procedure, compression stockings will be expertly applied, and you will engage in a 30-minute walk before you head home.

Varithena® paves the way for a new era in vein health, offering a swift and effective method for addressing varicose veins. At La Jolla Vein & Vascular, our proficient medical professionals are devoted to providing personalized care throughout your vein health journey. By embracing cutting-edge solutions like Varithena®, you are taking confident strides toward healthier, pain-free legs and enhanced overall well-being.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

Chemical Ablation: A Breakthrough Procedure for Vascular Health2023-10-10T15:27:31-07:00

28, 9, 2023

Chemical solutions for vascular wellness: Exploring the Ablation procedure

2023-08-31T18:57:46-07:00

Chemical solutions for vascular wellness: Exploring the Ablation procedure

ablation

Unveiling Varithena: Advancing Vein Health with Injectable Foam Treatment

In the realm of modern vein treatments, Varithena (ablation procedure) emerges as a groundbreaking solution for addressing varicose veins within the great saphenous vein system (GSV). This prescription medication presents a non-thermal, non-tumescent, and nearly painless approach to vein treatment. In this article, we delve into the intricacies of Varithena®, its effectiveness, and what to expect on the day of treatment.

Decoding Varithena®: Your Path to Vein Health

Varithena® utilizes a “microfoam” formulation of polidocanol (sclerosing agent) and CO2 to target superficial venous incompetence and visible varicosities associated with the great saphenous vein system. The microfoam is skillfully injected into the vein with ultrasound guidance, displacing blood and efficiently destroying the endothelial lining into ablation.

The Advantages of Varithena®:

  • Tailored Treatment: Varithena® recommendations are based on vein location, size, anatomy, and tortuosity. It effectively treats veins above and below the knee of different sizes.
  • Minimally Invasive: This treatment requires no incisions, sedation, or general anesthesia, enhancing patient comfort.
  • Non-Invasive Technique: Unlike other methods, Varithena® doesn’t require inserting a wire along the length of the vein, eliminating associated discomfort.
  • Heat-Free Process: Varithena® avoids the use of heat, ensuring there’s no risk of thermal injury during treatment.

Treatment Frequency and Response: A Closer Look

The number and frequency of Varithena® treatments depend on individual anatomy, the rate of vein response, and treatment goals. While larger or resistant veins might require two treatments for a complete response, many veins typically respond well after a single session. The treatment process is carefully managed to avoid potential side effects.

On the Day of Varithena® Treatment: What to Expect

Preparing for your Varithena® ablation treatment day is straightforward:

  • Consent and Attire: You’ll sign a consent form and change into provided shorts.
  • Skin Preparation: Your skin will be cleaned with alcohol, and ultrasound will be used to locate the veins for targeted treatment.
  • Injection Process: The foam medication will be injected into your veins using a fine needle. The foam effectively fills and treats the designated vein section, leading to vein collapse and deactivation.
  • Recovery Period: You’ll elevate your legs on a comfortable wedge pillow for around 15 minutes post-treatment.
  • Compression Stockings and Walking: Following treatment, compression stockings will be applied, and you’ll walk for 30 minutes before departing.

Varithena® paves the way for a new era in vein health, offering a swift and effective method for tackling varicose veins. At La Jolla Vein & Vascular, our skilled medical professionals are dedicated to delivering personalized care for your vein health journey. By embracing advanced solutions like Varithena®, you’re taking confident steps towards healthier, pain-free legs and enhanced well-being.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts



Chemical solutions for vascular wellness: Exploring the Ablation procedure2023-08-31T18:57:46-07:00

30, 8, 2023

Chemical Ablation: Varithena

2023-05-24T17:13:43-07:00

Varithena (polidocanol injectable foam)

is a prescription medication used to treat the great saphenous vein system (GSV) and associated varicose veins of the GSV system. Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. It is a non-thermal, non-tumescent, nearly painless method of vein treatment.

WHAT IS VARITHENA?

Varithena

Foam Sclerotherapy

Varithena is a “microfoam” formulation of polidocanol (sclerosing agent) and CO2.

The result is a microfoam that has an appearance and consistency similar to white, foamy shave cream.

Ultrasound guidance is used to inject Varithena® microfoam into the vein. The microfoam fills the lumen for circumferential

contact where it’s designed to displace blood and destroy the endothelial lining efficiently.

Varithena® may be recommended based on your vein location, size, anatomy and vein tortuosity.

Varithena® is:

  • Effective to treat veins of different sizes above and below the knee
  • Requires no incisions, sedation or general anesthesia
  • Does not require a wire to be inserted along the length of your vein
  • Does not use heat, eliminating the risk of thermal injury

How many treatments will I need?

The number and frequency of treatments depends on a patient’s anatomy, how quickly the veins respond, and the patient’s treatment goals.  There is a limit on the amount of medication we can give you each day to avoid causing side effects.  Some larger or resistant veins may require two treatments to respond completely but most veins respond to Varithena® after one treatment.

WHAT SHOULD I EXPECT ON THE DAY OF TREATMENT?

You will sign your consent form then change into shorts provided by the office.  We will clean your skin with alcohol, then use ultrasound to localize the veins.  The foam medication will then be injected into your veins with a fine needle.  The foam fills and treats the desired section of the vein.  The diseased vein collapses and the foam is deactivated.  Your legs will be elevated on a comfortable wedge pillow for approximately 15 minutes. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

 

Chemical Ablation: Varithena2023-05-24T17:13:43-07:00

23, 6, 2023

Varithena 101

2023-05-24T17:10:42-07:00

Varithena (polidocanol injectable foam)

is a prescription medication used to treat the great saphenous vein system (GSV) and associated varicose veins of the GSV system. Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. It is a non-thermal, non-tumescent, nearly painless method of vein treatment.

Varithena

WHAT IS VARITHENA?

Foam Sclerotherapy

Varithena is a “microfoam” formulation of polidocanol (sclerosing agent) and CO2.

The result is a microfoam that has an appearance and consistency similar to white, foamy shave cream.

Ultrasound guidance is used to inject Varithena® microfoam into the vein. The microfoam fills the lumen for circumferential

contact where it’s designed to displace blood and destroy the endothelial lining efficiently.

Varithena may be recommended based on your vein location, size, anatomy and vein tortuosity.

Varithena® is:

  • Effective to treat veins of different sizes above and below the knee
  • Requires no incisions, sedation or general anesthesia
  • Does not require a wire to be inserted along the length of your vein
  • Does not use heat, eliminating the risk of thermal injury

How many treatments will I need?

The number and frequency of treatments depends on a patient’s anatomy, how quickly the veins respond, and the patient’s treatment goals.  There is a limit on the amount of medication we can give you each day to avoid causing side effects.  Some larger or resistant veins may require two treatments to respond completely but most veins respond to Varithena® after one treatment.

WHAT SHOULD I EXPECT ON THE DAY OF TREATMENT?

You will sign your consent form then change into shorts provided by the office.  We will clean your skin with alcohol, then use ultrasound to localize the veins.  The foam medication will then be injected into your veins with a fine needle.  The foam fills and treats the desired section of the vein.  The diseased vein collapses and the foam is deactivated.  Your legs will be elevated on a comfortable wedge pillow for approximately 15 minutes. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts



Varithena 1012023-05-24T17:10:42-07:00

21, 4, 2023

Chemical Ablation: Varithena

2023-02-15T16:18:08-08:00

Varithena (polidocanol injectable foam)

is a prescription medication used to treat the great saphenous vein system (GSV) and associated varicose veins of the GSV system. Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. It is a non-thermal, non-tumescent, nearly painless method of vein treatment.

WHAT IS VARITHENA?

Varithena

Foam Sclerotherapy

Varithena is a “microfoam” formulation of polidocanol (sclerosing agent) and CO2.

The result is a microfoam that has an appearance and consistency similar to white, foamy shave cream.

Ultrasound guidance is used to inject Varithena® microfoam into the vein. The microfoam fills the lumen for circumferential

contact where it’s designed to displace blood and destroy the endothelial lining efficiently.

Varithena® may be recommended based on your vein location, size, anatomy and vein tortuosity.

Varithena® is:

 

  • Effective to treat veins of different sizes above and below the knee
  • Requires no incisions, sedation or general anesthesia
  • Does not require a wire to be inserted along the length of your vein
  • Does not use heat, eliminating the risk of thermal injury

How many treatments will I need?

The number and frequency of treatments depends on a patient’s anatomy, how quickly the veins respond, and the patient’s treatment goals.  There is a limit on the amount of medication we can give you each day to avoid causing side effects.  Some larger or resistant veins may require two treatments to respond completely but most veins respond to Varithena® after one treatment.

Varithena

WHAT SHOULD I EXPECT ON THE DAY OF TREATMENT?

You will sign your consent form then change into shorts provided by the office.  We will clean your skin with alcohol, then use ultrasound to localize the veins.  The foam medication will then be injected into your veins with a fine needle.  The foam fills and treats the desired section of the vein.  The diseased vein collapses and the foam is deactivated.  Your legs will be elevated on a comfortable wedge pillow for approximately 15 minutes. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car.

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

 

Chemical Ablation: Varithena2023-02-15T16:18:08-08:00

18, 10, 2022

What you need to know about Varithena

2022-09-19T18:19:50-07:00

WHAT IS VARITHENA?

 

Foam Sclerotherapy

Varithena is a “microfoam” formulation of polidocanol (sclerosing agent) and CO2. The result is a microfoam that has an appearance and consistency similar to white, foamy shave cream. Ultrasound guidance is used to inject Varithena® microfoam into the vein. The microfoam fills the lumen for circumferential contact where it’s designed to displace blood and destroy the endothelial lining efficiently.

Varithena (polidocanol injectable foam)

is a prescription medication used to treat the great saphenous vein system (GSV) and associated varicose veins of the GSV system. Varithena® improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. It is a non-thermal, non-tumescent, nearly painless method of vein treatment. Varithena® may be recommended based on your vein location, size, anatomy and vein tortuosity.

Varithena® is:

  • Effective to treat veins of different sizes above and below the knee
  • Requires no incisions, sedation or general anesthesia
  • Does not require a wire to be inserted along the length of your vein
  • Does not use heat, eliminating the risk of thermal injury

How many treatments will I need?

The number and frequency of treatments depends on a patient’s anatomy, how quickly the veins respond, and the patient’s treatment goals.  There is a limit on the amount of medication we can give you each day to avoid causing side effects.  Some larger or resistant veins may require two treatments to respond completely but most veins respond to Varithena® after one treatment.

 

What should I expect on the day of treatment?

You will sign your consent form then change into shorts provided by the office.  We will clean your skin with alcohol, then use ultrasound to localize the veins.  The foam medication will then be injected into your veins with a fine needle.  The foam fills and treats the desired section of the vein.  The diseased vein collapses and the foam is deactivated.  Your legs will be elevated on a comfortable wedge pillow for approximately 15 minutes. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

 

Our accredited center is also a nationally known teaching site and center of excellence. 

 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

 

 



What you need to know about Varithena2022-09-19T18:19:50-07:00

28, 6, 2020

3-Stage Approach to Vein Treatment

2020-09-17T17:58:02-07:00

When visible signs of venous disease such as spider veins, varicose veins, or skin changes are present, this is usually the tip of the iceberg, and an underlying vein problem is present. An underlying vein condition (venous reflux disease) can be detected with ultrasound. A treatment plan is focused on treating the underlying vein problems first, then working outwards.

image of an Iceberg as a metaphor for the hidden dangers of vein disease

Iceberg, a metaphor for the hidden dangers of vein disease

How Is Venous Reflux Disease Treated?

Step 1: The Underlying ProblemThe first step is to treat the underlying problem, the venous reflux. The specific pattern of venous reflux was detected by ultrasound. Venous reflux usually starts in the saphenous veins. The saphenous veins are most effectively treated with vein ablation procedures. This involves placing a small catheter within the vein and using heat or a solution to produce injury and eventual closure of the vein. The most commonly used treatments for the saphenous veins are radiofrequency ablation (RFA), laser ablation, mechanico-chemical ablation (MOCA or Clarivein), and in some cases Varithena Foam. The treatment recommendation is customized, based on where reflux is present and other clinical factors.

Step 2: Varicose Veins

After the underlying saphenous vein reflux is corrected, the bulging veins (varicose veins) can be treated by injecting a foamed medication that will cause them to scar and eventually dissolve (foam sclerotherapy), or to remove them using tiny incisions. The most common method is foam sclerotherapy.  This is also known as ultrasound-guided foam sclerotherapy (UGFS).

Step 3: Spider Veins

Spider vein treatment is always considered a cosmetic procedure. If improved cosmesis is a goal of treatment, make sure to discuss this with your doctor and plan on having cosmetic treatment as the last step. Spider vein treatment is accomplished by sclerotherapy, which is an injection of a liquid medication into the spider veins. Most patients use 3 vials, and have an average of 3 treatment sessions.  Ask your provider for an estimate about how many treatment sessions/ vials are necessary to get the results you want.

 

3-Stage Approach to Vein Treatment2020-09-17T17:58:02-07:00

18, 6, 2014

History of Foam Sclerotherapy Treatment of Varicose Veins

2021-11-05T10:56:45-07:00
foam

Foamed sclerosant inside a vein: Once foam is introduced into the vein, it is hyperechogenic on ultrasound. In this picture, a La Jolla Vein Care doctor points to the foamed medication inside the vein. Notice it appears ‘white.’

foam03*

Foamed sclerosant used for sclerotherapy has a ‘foam’ or frothy-like appearance.

In 1994 and 1950, E.J. Orbach introduced the concept of a macro bubble air-block technique to enhance the properties of sclerosant in performing macrosclerotherapy.  Apparently, few vascular surgeons were interested in the subject and the technique languished.  The work of Juan Cabrera and colleagues in Spain attracted attention of some vein specialists and interest in the use of foam technology in treating venous insufficiency was reawakened. Administration of foamed sclerosant was reintroduced in the early 1990s by Cabrerra, who summarized a broad experience in 1997. By the 1990’s, broad use of diagnostic ultrasound imaging made it possible to monitor foam distribution with ultrasound scanning. Some 40 years earlier, and before the development of ultrasound scanning, foam had been used in Germany to treat varicose veins.  At that time, foam was made by special syringes and its distribution was assessed by touch, instead of ultrasound scanning. Tessari , prior to the year 2000 developed an easy way of making liquid sclerosant into foam using two syringes and a three-way stop cock.   By 2000, Sica was able to report a three-year experience using foamed sclerosant in treating saphenous varices.  Since that time, foam has appeared increasingly in general use. Around 2000, Dr. John Bergan began describing the utility and success of foam treatment to physicians in the United States and can be attributed to bringing its awareness to North America. Over the past decade foam has gained world-wide popularity for the treatment of varicose vein tributaries in place of surgery. Varithena foam was recently FDA approved to treat the great saphenous vein with foam sclerotherapy.  Dr. Bergan predicted that microfoam sclerotherapy will eventually replace all other methods.  Presently, it is most commonly used as an adjunct to endovenous ablation of the great and small saphenous veins or as a sole treatment for surface varicose veins.

History of Foam Sclerotherapy Treatment of Varicose Veins2021-11-05T10:56:45-07:00

4, 2, 2014

New Foam Treatment of Varicose Veins

2021-11-04T19:24:26-07:00

In November of 2013, the US Food and Drug Administration (FDA)  approved Varithena,™   a new type of foam treatment for the treatment of patients with incompetent veins and visible varicosities of the great saphenous vein (GSV) system. Varithena is a pharmaceutical-grade, low-nitrogen, polidocanol foam dispensed from a canister device. In two pivotal, placebo-controlled Phase III trials, VANISH-1 and VANISH-2, Varithena achieved a clinically meaningful improvement in the symptoms of superficial venous incompetence and the appearance of visible varicosities and addressed the underlying venous incompetence in the majority of patients treated. Varithena (polidocanol injectable foam) is a sclerosing agent indicated for the treatment of incompetent great saphenous veins, accessory saphenous veins, and visible varicosities of the great saphenous vein system above and below the knee.  Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities.  Treatment is a minimally invasive, non-surgical procedure that requires neither tumescent anesthesia nor sedation.  Foam sclerotherapy has been used for years by medical doctors. What is new with Varithena, is that the foam is pre-made with low-nitrogen as opposed to room air, and is dispensed in a proprietary canister.   It is not yet available in doctor’s offices. Making Foam

New Foam Treatment of Varicose Veins2021-11-04T19:24:26-07:00
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