From the Research
Yes, chest wall veins can be sclerosed through a procedure called sclerotherapy, as supported by the most recent and highest quality study available 1.
Overview of Sclerotherapy
Sclerotherapy is a non-invasive procedure that involves injecting a sclerosing agent directly into the problematic veins, causing them to collapse and eventually be reabsorbed by the body.
- Common sclerosing agents used include sodium tetradecyl sulfate (STS), polidocanol, and hypertonic saline at concentrations determined by the size of the veins being treated.
- The procedure is typically performed in an outpatient setting under local anesthesia.
- Multiple sessions spaced 4-6 weeks apart may be necessary for complete resolution.
Application to Chest Wall Veins
While sclerotherapy is most commonly associated with treating varicose veins in the legs, the technique can be safely applied to visible or symptomatic chest wall veins when performed by experienced practitioners 2.
- Potential side effects include temporary pain, bruising, skin discoloration, and rarely, skin necrosis or allergic reactions.
- The procedure works by damaging the endothelial lining of the vein, causing inflammation, thrombosis, and eventual fibrosis, which leads to the permanent closure of the treated vessel.
- Blood flow is then redirected through healthier, deeper veins.
Important Considerations
It is crucial to follow guidelines and recommendations for sclerotherapy, including proper patient selection, technique, and management of potential complications, as outlined in recent consensus documents 2.
- Contraindications and precautions should be carefully considered to ensure the safe application of sclerotherapy.
- The use of foam sclerotherapy with sodium tetradecyl sulfate has been shown to be effective and safe for the treatment of venous malformations, including those in the chest wall 1.