Can Foam Sclerotherapy in a perforator vein leak into a deep vein?

I had the VENUS procedure done 4 weeks ago along with foam sclerotherapy into a perforator vein about 3" above my ankle. Ultrasound shows a thrombosis in this area. It is still hardened, tender, and has not improved. What should I expect my surgeon to do?

Answers from doctors (5)


Metro Vein Centers

Published on Dec 14, 2017

You should have your surgeon evaluate the area.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8515_1507848653.jpg
Answered by Metro Vein Centers

You should have your surgeon evaluate the area.

Published on Jul 11, 2012


North Shore Vein Center

Published on Feb 17, 2011

There is no question that foam injected into a perforator vein can, and almost always will leak into the deep veins. That is why so much care is taken and your surgeon followed all the necessary precautions. Does the ultrasound show a thrombosis in the deep system of veins or a superficial branch varicosity? The treatment and level of concern may differ. It sounds like you have a hardened, tender area known as superficial phlebitis, which is of minor concern as long as there are no clots in the deep veins. This can occur quite commonly and will resolve in 4-6 weeks with compression (stockings) and patience. If cleared to do so, a small dose of aspirin will help.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1044_1410305618.jpg
Answered by North Shore Vein Center

There is no question that foam injected into a perforator vein can, and almost always will leak into the deep veins. That is why so much care is taken and your surgeon followed all the necessary precautions. Does the ultrasound show a thrombosis in the deep system of veins or a superficial branch varicosity? The treatment and level of concern may differ. It sounds like you have a hardened, tender area known as superficial phlebitis, which is of minor concern as long as there are no clots in the deep veins. This can occur quite commonly and will resolve in 4-6 weeks with compression (stockings) and patience. If cleared to do so, a small dose of aspirin will help.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Feb 15, 2011

Foam sclerotherapy always carries a risk of traveling into the deep veins. The ultrasound you describe indicates an excellent result from the foam. It sealed the leaking perforator. The hard and tender area is common following this procedure. Wet heat to the area and ibuprofen should help.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

Foam sclerotherapy always carries a risk of traveling into the deep veins. The ultrasound you describe indicates an excellent result from the foam. It sealed the leaking perforator. The hard and tender area is common following this procedure. Wet heat to the area and ibuprofen should help.

Published on Jul 11, 2012


Heart and Vein Center

Published on Feb 15, 2011

Only depends on how far did the clot in the deep veins extended. If remains in the calf only, nothing to be done. If the leg is not swollen, nothing to be done. The indurated vein is expected since that is the effect of the sclerotherapy. Compression stockings everyday are very important as well as walking exercises.
Dr Farhy

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/923_1408044082.jpg
Answered by Heart and Vein Center

Only depends on how far did the clot in the deep veins extended. If remains in the calf only, nothing to be done. If the leg is not swollen, nothing to be done. The indurated vein is expected since that is the effect of the sclerotherapy. Compression stockings everyday are very important as well as walking exercises.
Dr Farhy

Published on Jul 11, 2012


Nu Vela Vein Center

Published on Feb 15, 2011

You need to have the thrombus drained with a simple needle puncture during
your next office visit. Clot formation happens often in the veins treated by
Foam Sclerotherapy and draining the clot in 2-3 weeks helps the healing
process and relieves the symptoms. Waiting too long makes it more difficult
extract the trapped blood

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/992_1499978603.jpg
Answered by Nu Vela Vein Center

You need to have the thrombus drained with a simple needle puncture during
your next office visit. Clot formation happens often in the veins treated by
Foam Sclerotherapy and draining the clot in 2-3 weeks helps the healing
process and relieves the symptoms. Waiting too long makes it more difficult
extract the trapped blood

Published on Jul 11, 2012


Related Questions for Foam Sclerotherapy

Foam Sclerotherapy -13 answers
I had EVLT performed on both legs. A week later, I had a foam sclerotherapy treatment. I developed thrombophlebitis following the procedures, and was given ibuprofen 600 for 2 weeks. I am finding that I still have no relief. There is pain behind my knee & inner thigh. What should I do?
See More
Foam Sclerotherapy -5 answers
It has been almost 3 weeks since I had the procedure. Is it OK to go for a full body massage? If not, when will I be able to go?
See More
Foam Sclerotherapy -3 answers
I've had four rounds of sclerotherapy over the course of a year. Now they're much much worse, and there are new clusters of veins around the injection site. Is it possible sclerotherapy just doesn't work for me?
See More
Foam Sclerotherapy -7 answers
Is it bad for your health to have sclerotherapy? It seems dangerous to inject chemicals like that directly into the bloodstream. Couldn't they spread and cause damage to other veins/areas of the body?
See More
Foam Sclerotherapy -2 answers
I have done several procedures Foam Sclerotherapy, injections, etc. This has caused those areas to stain. Also the pain continues especially when I'm on my mentral cycle, which causes it to be even more pruple and almost black in color.
See More
Foam Sclerotherapy -7 answers
20 years ago I had liquid Sclerotherapy and was bandaged for one month. The veins weregone when removed.Two months after my foam sclerotherapy my veins are still there. I know brown pigmentation takes a while to fade. The only difference is that this time I was only given compression stockings, not tight, to wear for 1 week. I've been wearing my own (stronger) stocking for 7 weeks, but no improvement. I'm very disappointed. Will the veins ever improve?
See More
Foam Sclerotherapy -2 answers
I hate the big veins on my hands. Is it safe to get rid of them with sclerotherapy?
See More
Foam Sclerotherapy -4 answers
I had the great and short saphenous veins treated on both legs. I am still wearing compression hose during the day but my legs feel very tender and bruised and it hurts when I walk.
See More
Get answers from our experienced doctors.
How it works
Foam Sclerotherapy -2 answers
My leg aches continually especially in warm weather. Can this be eradicated with more foam to reduce the refluxing veins? What are my chances of getting phlebitis again in this leg and how long should I leave it before having more treatment?
See More
Foam Sclerotherapy -10 answers
My doctor says it's okay but I thought veins had to clot in order for the sclerotheraphy to be successful.
See More
Foam Sclerotherapy -6 answers
I am thinking about having foam sclerotherapy and I was once told by a doctor that the blood will clot from the foam and then the foam shrinks the vein. Can you explain this process? How long does the blood clot stay there? Is it a concern, and is there a risk of developing other problems from this treatment, such as cancer?
See More
Foam Sclerotherapy -3 answers
I have developed protruding blue veins around my ankle (my achilles heel area) and generally on my foot. Would foam sclerotherapy or just sclerotherapy be suitable in treating this? Would it help resolve my ankle aching on hot days?
See More
Foam Sclerotherapy -7 answers
I have bulging veins on my feet that concern me health-wise. Can they be treated using sclerotherapy? Or, is there a better procedure for this particular area?
See More
Foam Sclerotherapy -3 answers
what are the advantages (if any) over Asclera and also, must a compression stocking be worn after the proceedure AND EXACTLY for how long?
See More
Foam Sclerotherapy -2 answers
I had phlebitis which has left my short saphenous vein distended and aching around the foot, ankle, and calf. How is this problem best treated?
See More
Foam Sclerotherapy -4 answers
I have many bulging veins on both feet. Duplex ultrasound showed no reflux or insufficiency and that veins are not varicose. It was recommended that I do nothing since there is no need. If want to fix them for cosmetic reasons, can they be treated? If so, what's the best procedure?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR