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Sclerotherapy typically requires no anesthesia; most people feel brief stings or pressure, with discomfort generally rated low on standard pain scales.
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For patients with a patent foramen ovale, foam sclerotherapy carries a rare risk of visual aura or neurologic symptoms; ultrasound guidance mitigates this.
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Ultrasound-guided sclerotherapy helps target deeper or nonvisible veins, ensuring accurate needle placement and reducing the risk of missing the diseased segment.