Foam phlebectomy is technique that I developed in the mid 2000-'s as a method to optimize treatment of superficial varicosities. It combines the techniques of ultrasound guided sclerotherapy with ambulatory phlebectomy. The combination of the 2 procedures in one setting optimizes the treatment of patients with superficial varicosities by improving outcomes and minimizing patient secondary visits and overall cost.
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.