A preferred apparatus for delivering an intravascular drug such as a
sclerosing agent (or a microfoam sclerosing agent) to a varicose vein
includes a catheter having three concentric tubes. The innermost tube has
a guide wire lumen and an inflation lumen. The distal end of the
innermost tube has an integral inflatable occlusion balloon in fluid
communication with the inflation lumen. The intermediate tube has a lumen
through which the innermost tube extends. The distal end of the
intermediate tube has a self-expanding balloon with a plurality of fluid
pores in fluid communication with the intermediate tube lumen. The outer
tube has a lumen through which the intermediate tube extends. Sclerosing
agent is dispensed through the intermediate tube to pores located at the
distal end of the intermediate tube or in the self-expanding balloon.
Veins are sclerosed as the self-expanding balloon is pulled through and
ultimately out of the vein.