The left proximal forearm, midarm, supraclavicular and posterior aspect of the shoulder regions were all targeted with needle injections done percutaneously under ultrasound guidance to ensure single vein wall entry.
Angiographic runs confirmed needle position. The injections were done under road map starting with polidocanol followed by bleomycin 5 minutes late. Total 15 ml of bleomycin and 6.5 ml of 3% polidocanol.