RT Book, Section A1 Friedmann, Daniel P. A1 Mishra, Vineet A1 Hsu, Jeffrey T. S. A2 Kang, Sewon A2 Amagai, Masayuki A2 Bruckner, Anna L. A2 Enk, Alexander H. A2 Margolis, David J. A2 McMichael, Amy J. A2 Orringer, Jeffrey S. SR Print(0) ID 1161347907 T1 Treatment of Varicose Veins and Telangiectatic Lower-Extremity Vessels T2 Fitzpatrick's Dermatology, 9e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9780071837798 LK dermatology.mhmedical.com/content.aspx?aid=1161347907 RD 2024/04/19 AB AT-A-GLANCEReverse venous flow (reflux) is exceedingly common in the general population.Age, pregnancy, body mass, and a family history of varicose leg veins all increase the incidence of venous reflux in patients.Duplex ultrasound examination can rapidly, effectively, and reproducibly map the superficial venous pathways of the lower extremities and identify sources of reflux in a noninvasive fashion.Sclerotherapy is the gold standard treatment for spider veins, although lasers may play an important adjuvant or alternative role.Varicose veins are often treated with a combination of endovenous ablation and sclerotherapy or phlebectomy, depending on their underlying cause.