Ultrasound-guided Sclerotherapy
Although EVTA is the preferred method of choice for treating saphenous-derived varicose veins, not everyone is a good candidate for EVTA. If the saphenous vein is tortuous, small, close to the skin, or fragmented from previous treatment efforts, one can instead use UGS.
Dr. Kanter helped pioneer this procedure back in the early 1990′s1-4, and has been performing UGS ever since. Under precise ultrasound guidance, several injections of an FDA-approved solution are made to the diseased saphenous veins causing them to shrink and disappear over time. Usually performed in 1-2 visits, UGS is a good second choice when EVTA cannot be performed.

1. Kanter A, Thibault PK. Saphenofemoral incompetence treated by ultrasound-guided sclerotherapy. Dermatol Surg 1996;22:648-52.
2. Kanter A. Clinical determinants of ultrasound-guided sclerotherapy outcome, Part I: The effects of age, gender, and vein size. Dermatol Surg 1998;24:131-135.
3. Kanter A. Clinical determinants of ultrasound-guided sclerotherapy outcome. Part II: In search of the ideal injectate volume. Dermatol Surg 1998:24:136-140.
4. Kanter A, Gardner M, Isaacs M. Identification of arteriovenous anastomoses by duplex ultrasound: implications for the treatment of varicose veins. Dermatol Surg 1995;21:885-9.

Disclaimer
Vein Center of Orange County (VCOC) is providing on-line services on the Internet for the purpose of education, communication, and information, and accepts no liability relative to the contents, accuracy, or use of these services. VCOC is not responsible nor does it exert responsibility, editorial or other control over the contents of the links to other Internet sites or messages or materials posted by any third party.
VCOC disclaims any and all liability for injury and/or other damages which result from an individual using techniques discussed/presented on the Internet, whether these claims are asserted by a physician or any other person. The material discussed/presented is not intended to represent the only or necessarily the best method of treatment for any particular individual or situation.
Clinical images presented at this site are untouched, and for illustrative purposes only. They do not guarantee or predict the results in any particular individual.
