Varithena Foam Treatment

Why Choose Us

We are dedicated to advancing the standard of care for treating venous diseases.

A group of surgeons from Princeton are operating on a patient.

Our practice is committed to broadening public understanding of vein health and furthering its research. By employing a comprehensive approach to patient care, we help individuals manage the symptoms and complications of venous diseases.

We have vast knowledge and experience in phlebology, and we find ways to serve our patients better through research.

We are equipped with the latest technology, which is why we can take on even unusual venous diseases.

We truly care for our patients. For this reason, we work hard to help improve the quality of their lives.

Consult With Us

Varicose veins can’t be completely cured. However, you can relieve the symptoms and prevent the complications that they might cause through lifestyle changes and proper treatment. If you’re looking for reliable health care practitioners who can effectively diagnose and manage venous diseases, turn to us. We have multiple offices located in Somerset, Princeton, and Millburn, NJ.

How Varithena® Works: A Case Study

Materials and Methods

The greater saphenous vein is accessed by inserting a 5 French micropuncture catheter in the distal thigh. To drain the blood in the varicose veins, the leg is elevated 45 degrees. The greater saphenous vein (GSV) is thrombosed with polidocanol injectable foam 1% using ultrasound guidance. During this process, the saphenofemoral junction is compressed to protect the deep system.

Afterward, another injection is administered to the patient through the same catheter. This allows the polidocanol foam to flow distally through the incompetent varicose veins to the calf in a retrograde manner. The patient is then asked to dorsiflex his foot to close patent perforators.


A 38-year-old male has been living with varicose veins for many years and experiencing a heavy feeling in both legs. Severe reflux in the greater saphenous vein, 500 ms. in duration, was noted. In addition, the right greater saphenous vein measured 11 mm. in diameter, with 8–11 mm. varicosities at the knee.

The greater saphenous vein was thrombosed with 3 mL. of polidocanol injectable foam 1%. Afterward, the remaining varicosities in the distal leg were treated using another 5 mL. of polidocanol injectable foam 1%, which was administered through the same micropuncture catheter in the distal thigh. The total foam volume that was utilized in the procedure was 8 mL.

A person is cutting a foot with a pair of scissors at Princeton, NJ.
A man in a white lab coat is working on a patient's body at the Deak Vein NJ Clinic in Princeton, NJ.


The study describes an improved technique for treating GSV and associated varicose veins in the distal leg simultaneously through only one access site.

Other Treatment Options

Ligation of incompetent perforators, subfacial endoscopic perforator vein surgery (SEPS), and ultrasound-guided sclerotherapy of perforating veins have been employed to decrease ambulatory venous hypertension and promote healing of chronic venous insufficiency ulcers. These methods are also helpful in treating various vein health problems, such as:

  • Varicose Veins
  • Spider Veins
  • Venous Ulcers/Leg Wounds
  • Other Venous Disease
A group of surgeons from Princeton and Millburn, NJ., looking at a microscope.

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