The most commonly used sclerosing agent for vascular lesion are detergents including : Sodium Tetradecyl Sulfate 3%, Ethanolamine Oleate5%, Polidocanol 3%.
The advantage of using Sclerosant for the treatment of vascular lesions are to simplify the course of treatment:
⦁ Injection and compression to eliminate previous possibility of surgical excision.
⦁ Injection cause solidification ─ then make the local excision possible and easy.
Practical applications of Sclerosants:
⦁ Varicose vein of lower extremities and teleangiectasis.
⦁ Low Flow vascular malformation
⦁ High Flow vascular malformation
⦁ Port Wine Stain vascular lesions. ( Capillary vascular malformation)
⦁ Infantile hemangioma (Strawberry Hemangioma)
⦁ Lymphatic malformations
The varicose vein treatment was widely used since 1960. The sclerosant was injected to the varicose veins then use local compression to obtain an excellent result
Next item for the treatment was extended to the treatment of low flow vascular anomalies. Then reach to the treatment of high flow vascular anomalies by ligation of feeding arteries or use the embolization to slow down the blood flow followed by the sclerosant injection and local compression to establish the excellent final result of vascular lesions.
In treating infantile hemangioma, whoever had vascular lesions exceed 8M old, will start inject sclerosant each 2 months, then after the lesion was fatten down final treatment using the flush lamp Dye Laser to accomplish the treatment. In case of the capillary vascular malformation, on their second stage (Hypertrophic stage) diluted sclerosant can be used each 2 months then after it was thin down, the flash lamp Dye Laser can be used to obtain an excellent final result. For the treatment of lymphatic malformation, the lymphatic fluid need to be extracted first then sclerosant can be injected in such the sclerosant cannot be diluted to obtain a better result.
The presentations are including my past 60 years’ experience of various vascular skin lesions. Although few complications occurred during the course of treatment but try careful attention we can eliminate its possibility of complication.
During these treatments we need to have the help of radiologist to make an accurate diagnosis and embolization of abnormal high flow vascular lesions during the treatment.

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