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Sclerotherapy for Vein Treatment

You'll be able to evaluate spider and varicose vein presentations, select an appropriate sclerosant and formulation, and plan injection technique with attention to venous anatomy and safety.

What this track covers

This track covers the venous anatomy relevant to sclerotherapy, including superficial and deep systems, valves, and reflux patterns, along with the mechanism by which sclerosant agents produce endothelial injury and vessel closure. It also addresses agent selection and liquid versus foam formulations for cosmetic and medical vein conditions.

What you will practice

  • Distinguish superficial venous reflux patterns from deep venous involvement
  • Compare detergent sclerosants (e.g., STS, polidocanol) versus osmotic agents
  • Decide when liquid versus foam formulation is more appropriate
  • Plan injection sequencing and technique using transillumination
  • Recognize situations that warrant referral or further vascular workup

Simulator scenario

A timed case where the virtual patient presents with symptomatic varicose veins, and the clinician must assess venous anatomy, choose an appropriate agent and formulation, and justify the treatment plan.

Board question topics

  • Venous anatomy and reflux patterns
  • Sclerosant classification and mechanism of action
  • Liquid versus foam technique selection
  • Recognizing complications and referral triggers

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