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What is trans illuminated sclerotherapy?

This question was asked in Alexandria, Virginia and has 14 answer(s) as of 06/12/2013.
A friend recommended I go see her doctor for my leg veins. Theyre swollen and black and blue. I ready somewhere online like webmd that veins are treated with sclerotherapy. I researched the treatment and found confusion. What is the trans illuminated sclerotherapy? Is it more expensive than regular sclerotherapy?

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Doctors Answers (14)

Transillumination means using light to enhance the visibility of the veins. Think back when you were a child and you placed a flashlight under a finger and you saw a orange-red color mixed with some dark lines. Those dark lines are blood vessels. To make finding and injecting abnormal veins easier, a focused very bright white light is placed on top the area to be treated. This device is usually in a u-shape so a needle can be placed underneath the light. As to cost, there doesn't have to be an extra charge for the use of this light; it is up to the individual physician. In my office, I do not charge extra.

Transilluminated sclerotherapy means placing a light on your skin so that we can visualize any veins that may be feeding the veins that you see on your skin. Then we can treat these feeder veins as well as the superficial ones. The treatment is more successful when you are able to treat both the veins that you see and the feeder veins. We do not charge any more money for using the light with our sclerotherapy. Please feel free to contact our office for further questions.

Using transillumination to guide sclerotherapy can be helpful when feeder reticular veins are hard to see on the surface, but it will slow down the procedure. Except for special cases, experienced phlebologists usually perform sclerotherapy without transillumination.

Trans illuminated sclerotherapy is when a strong halogen light is used to shine through the skin. This illuminates abnormal veins under the surface of the skin, which can then be injected with sclerotherapy medicine. In our practice, trans illuminated sclerotherapy is a standard part of a sclerotherapy session. There is no extra charge.

Trans-Illuminated sclerotherapy consists of using a horseshoe shaped "Vein Light" that you put against the skin and over the varicosity. The light which is aimed at the varicosity, makes it stand out and therefore it's easier to see with the naked eye. It allows for a more accurate identification of the varix, and consequently easier to target and puncture by a hypodermic needle which is attached to a syringe which contains the sclerotherapy solution. Multiple veins can be injected with this method. Particularly the "Reticular Veins" located behind the knee and lateral thighs.

Trans-illumination uses a "Vein Light" which makes varicose veins stand out in a dark room. It can identify veins that need to be treated easier than with the naked eye. There is no increased cost for this technique.

Trans illuminated sclerotherapy is regular sclerotherapy with transilluminator. The transilluminator is fiberoptic light that allows the sclerotherapist/doctor to partially see through the skin. It makes the sclerotherapy a bit easier and more effective. It should not cost more.

Trans illuminated sclerotherapy is used to illuminate veins in order to access them easier. Many veins lay just beneath the skin and you do not see these until you apply a light source witch illuminates these veins. If you have veins as you describe, then you may likely have more significant venous problems. You should first be evaluated by an experienced phlebologist and have a duplex ultrasound evaluation before treating your veins. If you have symptoms with your venous problems, then most insurances will pay for ultrasound evaluation and appropriate treatment. Let us know if we can assist you further.

Sclerotherapy involves injection of a substance into veins to cause them to swell, close, and to eventually shrink within the tissues. Veins which can be seen on the surface may be treated with visual guidance to see the veins to be treated. The most common method used to perform sclerotherapy for veins which are not well visualized on the surface is with ultrasound guidance. Ultrasound guidance allows the veins under the surface to be evaluated to determine the best points for injection in order to treat the veins under the surface which feed those closer to the surface. Ultrasound guidance also assists in determining how much sclerosant solution to inject at a given site. Transillumination uses light shining through the skin to show the location of the veins. There are so many variables in the complexity of sclerotherapy that pricing varies considerably from practice to practice. Generallly, ultrasound-guided sclerotherapy (USG) is more expensive than visual sclerotherapy, but USG is also much more effective and allows treatment of much more complicated varicose veins than visually-guided sclerotherapy.

Sclerotherapy is done by injection of a chemical sclerosant (usually a medical grade detergent) into a vein, which causes the vein to close and ultimately to be reabsorbed by the body. The veins being treated can be injected by direct overhead light visualization if they are superficial and obvious. The veins than are deeper under the skin can be visualized better using trans-illumination with a ring-shaped fiber optic light. This is a common way of illuminating the veins to make injections easier and is often used in our clinic. Still deeper veins can be visualized by ultrasound and injections done under ultrasound guidance of the needle directly down into the vein. Regardless of how the vein is visualized, the sclerotherapy? is basically the same treatment. In our clinic the cost of sclerotherapy is based on the time required to do the treatment only, so both transillumination and direct visualized injections will cost the same and both are often done on a single treatment. Ultrasound guided sclerotherapy is more technically involved for larger deeper type veins and will cost more to treat.

It is the same price as far as I have ever heard. It is better if you have a lot of reticular veins. These may be the feeder veins to the Spider veins and will help the veins go away better. All it is, is a light that is placed on the skin to show the blue feeder veins better. It works very well and is no different than sclerotherapy except that a light is used.

I am not sure that transilluminated sclerotherapy is a term that is in use. There is something known as trans illuminated power phlebectomy which is a somewhat invasive way of removing extensive varicose veins. Injection of surface veins can be done by visual guidance alone. Sometimes there are veins that are slightly below the surface of the skin that can be better visualized when a bright light is applied directly to the skin. This is a technique that is not always used and does not necessarily improve outcomes. This may be what is meant by this term. Injection sclerotherapy can also be performed with the help of ultrasound guidance. This is used for deeper varicosities that cannot be visualized by any other means.

Transilluminated sclero therapy is light assisted sclero therapy where a special vein light (similar to a flashlight) is used to illuminate the skin and immediate below-skin tissue to better visualize the spider veins and their feeders prior to injecting them with sclero therapy.

Thanks for the question. Conventional Sclerotherapy is the injection of a sclerosing (irritating) agent into very small visible veins, causing them to close up and become invisible. This is often done with a very bright light or a polarized light. Trans Illuminated technology is for bigger veins, and is done placing a light into the area around the vein and then breaking the veins apart and aspirating them out of the leg, (think of a tiny "weed whacker"). Hope this helps.

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