Abstract
Damaged venous valves result in varicose or spider vein formation. Commonly, venous obstruction is caused by increased pressure of reverse blood flow within the superficial venous valve or from direct traumatic injury to the vein.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Kendler M, Makrantonaki E, Kratzsch J, Anderegg U, Wetzig T, Zouboulis C, Simon JC. Elevated sex steroid hormones in great saphenous veins in men. J Vasc Surg.; December 31, 2009 [Epub ahead of print].
Apfelberg DB, Maser MR, Lash H, White DN, Flores JT. Use of the argon and carbon dioxide lasers for treatment of superficial venous varicosities of the lower extremity. Lasers Surg Med. 1984;4(3):221-231.
Apfelberg DB, Maser MR, Lash H. Argon laser management of cutaneous vascular deformities. A preliminary report. West J Med. 1976;124(2):99-101.
Pflugbeil G, Stühler R, von Sommoggy S, Dörrler J, Maurer PC. Ablation of venous valves with Nd-Yag laser – an alternative to conventional valvulotomy? Vasa. 1993;22(1):53-56.
Coles CM, Werner RS, Zelickson BD. Comparative pilot study evaluating the treatment of leg veins with a long pulse ND:YAG laser and sclerotherapy. Lasers Surg Med. 2002;30(2):154-159.
Tan OT, Murray S, Kurban AK. Action spectrum of vascular specific injury using pulsed irradiation. J Invest Dermatol. 1989;92(6):868-871.
Reichert D. Evaluation of the long-pulse dye laser for the treatment of leg telangiectasias. Dermatol Surg. 1998;24:737-740.
Sadick NS. Laser treatment of leg veins. Skin Therapy Lett. 2004;9(9):6-9.
Dover JS, Sadick NS, Goldman MP. The role of lasers and light sources in the treatment of leg veins. Dermatol Surg. 1999;25(4):328-335; discussion 335–336.
Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science. 1983;220(4596):524-527.
Kauvar ANB, Khrom T. Laser treatment of leg veins. Semin Cutan Med Surg. 2005;24:184-192.
Ross EV, Domankevitz Y. Laser treatment of leg veins: physical mechanisms and theoretical considerations. Lasers Surg Med. 2005;36(2):105-116.
Altshuler GB, Anderson RR, Manstein D, Zenzie HH, Smirnov MZ. Extended theory of selective photothermolysis. Lasers Surg Med. 2001;29(5):416-432.
Alves OC, Wajnberg E. Heat denaturation of metHb and HbNO: e.p.r. evidence for the existence of a new hemichrome. Int J Biol Macromol. 1993;15(5):273-279.
Seto Y, Kataoka M, Tsuge K. Stability of blood carbon monoxide and hemoglobins during heating. Forensic Sci Int. 2001;121(1–2):144-150.
Barton JK, Frangineas G, Pummer H, Black JF. Cooperative phenomena in two-pulse, two-color laser photocoagulation of cutaneous blood vessels. Photochem Photobiol. 2001;73(6):642-650.
Mordon S, Brisot D, Fournier N. Using a “non uniform pulse sequence” can improve selective coagulation with a Nd:YAG laser (1.06 microm) thanks to Met-hemoglobin absorption: a clinical study on blue leg veins. Lasers Surg Med. 2003;32(2):160-170.
Black JF, Wade N, Barton JK. Mechanistic comparison of blood undergoing laser photocoagulation at 532 and 1, 064 nm. Lasers Surg Med. 2005;36(2):155-165.
Spendel S, Prandl EC, Schintler MV, et al. Treatment of spider leg veins with the KTP (532 nm) laser–a prospective study. Lasers Surg Med. 2002;31(3):194-201.
Bernstein EF, Kornbluth S, Brown DB, Black J. Treatment of spider veins using a 10 millisecond pulse-duration frequency-doubled neodymium YAG laser. Dermatol Surg. 1999;25(4):316-320.
Bernstein EF. The new-generation, high-energy, 595-nm, long pulse-duration pulsed-dye laser improves the appearance of photodamaged skin. Lasers Surg Med. 2007;39(2):157-163.
Kono T, Yamaki T, Erçöçen AR, Fujiwara O, Nozaki M. Treatment of leg veins with the long pulse dye laser using variable pulse durations and energy fluences. Lasers Surg Med. 2004;35(1):62-67.
Tanghetti E, Sherr E. Treatment of telangiectasia using the multi-pass technique with the extended pulse width, pulsed dye laser (Cynosure V-Star). J Cosmet Laser Ther. 2003;5(2):71-75.
McDaniel DH, Ash K, Lord J, Newman J, Adrian RM, Zukowski M. Laser therapy of spider leg veins: clinical evaluation of a new long pulsed alexandrite laser. Dermatol Surg. 1999;25(1):52-58.
Kauvar AN, Lou WW. Pulsed alexandrite laser for the treatment of leg telangiectasia and reticular veins. Arch Dermatol. 2000;136(11):1371-1375.
Eremia S, Li C, Umar SH. A side-by-side comparative study of 1064 nm Nd:YAG, 810 nm diode and 755 nm alexandrite lasers for treatment of 0.3-3 mm leg veins. Dermatol Surg. 2002;28(3):224-230.
Trelles MA, Allones I, Alvarez J, et al. The 800-nm diode laser in the treatment of leg veins: assessment at 6 months. J Am Acad Dermatol. 2006;54(2):282-289.
Wollina U, Konrad H, Schmidt WD, Haroske G, Astafeva LG, Fassler D. Response of spider leg veins to pulsed diode laser (810 nm): a clinical, histological and remission spectroscopy study. J Cosmet Laser Ther. 2003;5(3–4):154-162.
Sadick NS, Trelles MA. A clinical, histological, and computer-based assessment of the Polaris LV, combination diode, and radiofrequency system, for leg vein treatment. Lasers Surg Med. 2005;36(2):98-104.
Trelles MA, Martín-Vázquez M, Trelles OR, Mordon SR. Treatment effects of combined radio-frequency current and a 900 nm diode laser on leg blood vessels. Lasers Surg Med. 2006;38(3):185-195.
Black JF, Barton JK. Chemical and structural changes in blood undergoing laser photocoagulation. Photochem Photobiol. 2004;80:89-97.
Randeberg LL, Bonesrønning JH, Dalaker M, Nelson JS, Svaasand LO. Methemoglobin formation during laser induced photothermolysis of vascular skin lesions. Lasers Surg Med. 2004;34(5):414-419.
Omura NE, Dover JS, Arndt KA, Kauvar AN. Treatment of reticular leg veins with a 1064 nm long-pulsed Nd:YAG laser. J Am Acad Dermatol. 2003;48(1):76-81.
Rogachefsky AS, Silapunt S, Goldberg DJ. Nd:YAG laser (1064 nm) irradiation for lower extremity telangiectases and small reticular veins: efficacy as measured by vessel color and size. Dermatol Surg. 2002;28(3):220-223.
Bäumler W, Ulrich H, Hartl A, Landthaler M, Shafirstein G. Optimal parameters for the treatment of leg veins using Nd:YAG lasers at 1064 nm. Br J Dermatol. 2006;155(2):364-371.
Parlette EC, Groff WF, Kinshella MJ, Domankevitz Y, O’Neill J, Ross EV. Optimal pulse durations for the treatment of leg telangiectasias with a neodymium YAG laser. Lasers Surg Med. 2006;38(2):98-105.
Weiss RA, Weiss MA. Early clinical results with a multiple synchronized pulse 1064 NM laser for leg telangiectasias and reticular veins. Dermatol Surg. 1999;25(5):399-402.
Lupton JR, Alster TS, Romero P. Clinical comparison of sclerotherapy versus long-pulsed Nd:YAG laser treatment for lower extremity telangiectases. Dermatol Surg. 2002;28(8):694.
Goldman MP, Eckhouse S. Photothermal sclerosis of leg veins. Dermatol Surg. 1996;22:323-330.
Schroeter CA, Neumann HAM. An intense light source: the photoderm VL-flashlamp as a new treatment possibility for vascular lesions. Dermatol Surg. 1998;24:743-748.
Green D. Photothermal removal telangiectasias of the lower extremities with the photoderm VL. J Am Acad Dermatol. 1998;38:61-68.
Levy JL, Elbahr C, Jouve E, Mordon S. Comparison and sequential study of long pulsed Nd:YAG 1, 064 nm laser and sclerotherapy in leg telangiectasias treatment. Lasers Surg Med. 2004;34(3):273-276.
Krivda MS. The latest approaches to treating leg veins. Skin Aging. 2005;13:72-77.
Sumner DS. Venous dynamics: varicosities. Clin Obstet Gynecol. 1981;24:743.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag London Limited
About this chapter
Cite this chapter
Weiss, R.A., Munavalli, G.S., Choudhary, S., Leiva, A., Nouri, K. (2011). Laser Treatment of Leg Veins. In: Nouri, K. (eds) Lasers in Dermatology and Medicine. Springer, London. https://doi.org/10.1007/978-0-85729-281-0_5
Download citation
DOI: https://doi.org/10.1007/978-0-85729-281-0_5
Published:
Publisher Name: Springer, London
Print ISBN: 978-0-85729-280-3
Online ISBN: 978-0-85729-281-0
eBook Packages: MedicineMedicine (R0)