Microfoam (or Varixfoaming) treatment

Venous sclerotherapy is a method of treating varicose veins that is already over a hundred years old.

Varicose veins refer to veins that have become enlarged or obstructed. A typical identifying feature is a snake or branch-shaped bulge that stands out clearly from the skin, often with a lump formation. Varicose veins appear mainly on the legs. This is because the veins in the legs must work the most against gravity to pump blood to the heart.

In rare cases, however, they can also appear on other body parts. Varicose veins are not only a visual problem but can also cause heavy and painful legs and secondary diseases. It is all the more important to recognize and treat them early.


Obliteration of varicose veins with Microfoam

Substances intended to irritate and deliberately damage the vein wall are injected into the vessel during sclerotherapy. This leads to occlusion (thrombosis) or direct adhesion of the vessel walls. For some years now, the occlusion of veins has not only been practiced by injecting liquid sclerosing agents but increasingly by using foam or “Microfoam.”

The sclerosing agent we use is the only approved drug with the highest effectiveness and the lowest complication rate in the sclerotherapy of varices. The agent is an alcohol-based drug in various concentrations, from 0.25% to 3%. The larger the diameter of the vein to be treated, the higher the drug concentration required for this purpose. A specially manufactured microfoam (the sclerosing agent is foamed with air) is introduced into the diseased vein via a small cannula under ultrasound control.

With this method, the amount of sclerosing agent can be precisely controlled. Thus, the closure result is significantly better than after the traditional liquid sclerotherapy or the saline sclerotherapy repeatedly described in some media, with a success rate of only 13%.

In the meantime, we are also refining the method by adding sterile adhesive substances. On the one hand, these increase effectiveness and, on the other hand, reduce the formation of pigmentation. To further improve the results after the treatment, the patients should wear corresponding class II compression stockings during the day for 10-14 days afterward.

Daily showering, sports, and any work activities are possible without restrictions. As a rule, all varicose veins can be sclerosed with microfoam.

Varicose veins are best treated as early as possible.

When engaging with us, you will exclusively communicate with experts in vascular surgery, phlebology, angiography, and lymphology.

Complications and prevention after sclerotherapy of varicose veins

After any treatment (stripping, radio wave, laser, microfoam) of varices, there is a possibility of recurrence, recurrence of varices. The duration depends on the individual patient, the accuracy of the clarification, and the method used in the first intervention. It is therefore essential, even after sclerotherapy, to have regular check-ups for one to two years and take preventive measures (sufficient exercise and endurance sports such as jogging, cycling, or swimming).

One of the most common complications after sclerotherapy of a varicose vein is the development of brownish spots and hardening in the course of the former vein. This is the result of sclerotherapy and can last for several weeks. Further theoretical consequences are the development of deep vein thrombosis (risk less than 1 percent!) or the development of inflammation in the area of the treated vein.

Fibrillated scotoma or bronchospasm occurred in 0.21% of cases. In the case of migraine patients, adhering to the prescribed amounts of foam is necessary in addition to precise therapy planning. The same applies to patients with a short-circuit connection between the left and right atrium. Therapy with anticoagulant medication, on the other hand, is possible. Foam sclerotherapy is not used during pregnancy.

Vascular weakness is often hereditary. Other factors that harm blood circulation can also promote the development of varicose veins. These include, for example, standing or sitting activities, obesity, nicotine consumption, pregnancy, or hormonal therapy.


Advantages of using Microfoam

  1. Fully outpatient with high patient comfort
  2. Incision- and anesthesia-free
  3. Particularly gentle (in contrast to surgical interventions, microfoam therapy leaves no scars)
  4. Almost painless (apart from a short puncture)
  5. Effective and fast-acting
  6. With a significantly lower risk potential
  7. An inability to work is not to be expected in most cases
  8. Low-cost

Together with the well-known methods of endovenous radio wave/laser therapy and bonding with VenaSeal, foam sclerotherapy is another simple and gentle method.

Varicose veins are best treated as early as possible.

With us, you only speak to experts in vascular surgery, phlebology, angiology, and lymphology.

Feel free to give us a call

We would be delighted to schedule an appointment with you and take the time to have a personal conversation.