A Novel Approach for the Treatment of Spider Veins: “Given Needle”
Kenna S. Given, M.D.

BACKGROUND

Spider veins on the lower limbs are very common and have been reported to be present in 41% of women over 50. Sclerotherapy as a traditional treatment for spider veins has a low cost, though it has adverse sequelae including ulceration, scarring, hypopigmentation, hyperpigmentation, thrombosis, and allergic reactions. Lasers have shown fewer but still substantial complications such as hyperpigmentation, scarring, pain, and ulceration. Its lower efficacy relative to sclerotherapy has limited laser application for the treatment of spider veins.


OBJECTIVES

To present a new alternative in management of spider veins which involves low voltage current delivered via an insulated micro needle with beveled tip.



METHODS

The technique utilizes a micro needle with an insulated shaft with an exposed beveled tip, which is inserted into a handpiece connected to a mono-polar electrical generator. The needle is introduced through the skin into or on the spider vein. The current is then applied with obliteration of the vein.


CONCLUSIONS

A novel approach for the treatment of spider veins has been described. The development of an insulated micro needle with an exposed beveled tip utilizing low current, has minimized adjacent tissue damage and improved efficacy. The low cost, low level of complications and comparable results offer a valuable alternative to sclerotherapy and laser treatment.

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