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The Q-switched ruby laser (694 nm) is also effective in removing recalcitrant pigmentation with a high rate of resolution (90%).75,76 The Q-switched 532/1064-nm Nd: YAG laser, with its longer wavelengths, can safely treat darker skin and penetrate into the deeper dermis with a 75% resolution in persistent hyperpigmentation lasting 18 months with 2.8 treatments.77 Most recently, Q-switched lasers that generate picosecond domain pulses have been introduced with an even greater ability to target and destroy cutaneous pigment.78 A Polish group has achieved a complete regression of hyperpigmentation in 90% of cases using an intense pulsed light that is equipped with radio waves.79. Avoid sun exposure to minimized the di Be sure the diagnosis is made by someone reputable and that the treatment is evidence-based. There are no evidence-based recommendations. Schuller-Petrovi S, Pavlovi MD, Neuhold N, Brunner F, Wlkart G. Subcutaneous injection of liquid and foamed polidocanol: extravasation is not responsible for skin necrosis during reticular and spider vein sclerotherapy. The number of shots depends on the number of veins being treated. Complications observed in a prospective French Registryof 12 173 sclerotherapy sessions.From reference 1: Guex JJ et al. Cutaneous necrosis may occur with the injection of any sclerosing agent, even under ideal circumstances, and it does not necessarily represent a physician error. 50. The thrombus was nonocclusive and asymptomatic.The patient was treated with bemiparine 5000 UI for7 days, and thereafter, bemiparine 3500 UI until the thrombusdisappeared 20 days later, with a weekly duplex follow-up. ICHD guidelines. How long after the Sclerotherapy treatment will I see the results? How do you get rid of trapped blood? - Daily Justnow These side effects usually go away within days to weeks. Significant and relatively rare complications include systemic life-threatening reactions and anaphylaxis (very rare), deep venous thrombosis (1% to 3%), stroke (0.01%), tissue necrosis (variable frequency), edema of the injected extremity (0.5%), and nerve damage (0.2%).1-5. Bad results are usually the consequences of an inappropriate use or indication. Sclerotherapy - Mayo Clinic Nitecki SS, Bass A. Inadvertent arterial injury secondary to treatment of venous insufficiency. Prolonged arterial vasospasm may result in tissue infarction and subsequent necrosis (Figure 3).17-19. Complications and adverse sequelae of sclerotherapy. Can I cut the feet off of my compression stockings? Our improved knowledge of complications allows us to implement the treatment carefully. How soon after sclerotherapy can I play tennis? 1995;21(1):19-29. If not, the doctor may recommend repeated treatments. Phlebology. J Allergy Clin Immunol. Eur J Vasc Endovasc Surg. How long should this last? Treatment may also include local infiltration of corticosteroids and local anesthetics.6, The incidence of lower limb edema following sclerotherapy is rarely reported and probably underestimated, but the incidence is around 0.5%.59 This complication is possibly more frequent following the obliteration of the small saphenous vein due to the contiguity of this vein with the superficial lymphatic vessels.