Leg veins with diameter between 1 and 3 mm: flash-lamp-pulsed dye laser, alexandrite laser, invasive Nd:YAG laser treatment, or sclerotherapy?

Roman Smucler M.D.; Jiri Mazanek; Marta Moidlova

doi:10.1117/12.386251

17 May 2000 Leg veins with diameter between 1 and 3 mm: flash-lamp-pulsed dye laser, alexandrite laser, invasive Nd:YAG laser treatment, or sclerotherapy?

Roman Smucler M.D., Jiri Mazanek, Marta Moidlova

Author Affiliations +

Proceedings Volume 3907, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems X; (2000) https://doi.org/10.1117/12.386251
Event: BiOS 2000 The International Symposium on Biomedical Optics, 2000, San Jose, CA, United States

Abstract

After unrealistic laser expectations we can see renaissance of 'golden standard' -- sclerotherapy in leg veins treatment. Every laser specialist knows difference between facial and leg veins now. Combination of flash lamp pulsed dye laser /PDL/ and sclerotherapy can be new 'golden standard' but patients are dissatisfied with this procedure which include 'needle medicine.' We presented our way to solve this problem partially-invasive laser treatment with Nd:YAG laser last year. Another trend is introduction of new modifications of near infrared lasers. GentleLASE/Candela, MA/ with dynamic cooling is one of them. We treat veins from 0 - 1 mm in diameter very successfully with PDL/ScleroPlus, Candela, MA/, bigger veins we recommend for minimal invasive or classical surgery. Combination of lasers is we think only one possibility for successful laser treatment. Aim of our work is comparison of sclerotherapy with combinated treatments with PDL, near infrared laser and invasive Nd:YAG laser for veins in diameter between 1 - 2 mm. Results show that combination of lasers offer same results with comparable side effects like sclerotherapy that is cheaper and most common of course. Patients prefer pure laser therapy with combination of pulsed dye laser and alexandrite laser. We think that isn't one best method, decision is one the doctor and patient.

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Roman Smucler M.D., Jiri Mazanek, and Marta Moidlova "Leg veins with diameter between 1 and 3 mm: flash-lamp-pulsed dye laser, alexandrite laser, invasive Nd:YAG laser treatment, or sclerotherapy?", Proc. SPIE 3907, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems X, (17 May 2000); https://doi.org/10.1117/12.386251

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KEYWORDS

Laser therapeutics

Veins

Alexandrite lasers

Nd:YAG lasers

Dye lasers

Skin

Fiber lasers

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