Advertisement

Laser Treatment of Leg Veins

  • Robert A. Weiss
  • Girish S. Munavalli
  • Sonal Choudhary
  • Angel Leiva
  • Keyvan Nouri
Chapter

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.

Keywords

Varicose Vein Great Saphenous Vein Intense Pulse Light Superficial Vein Thermal Relaxation Time 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1.  1.
    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].Google Scholar
  2.  2.
    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.PubMedCrossRefGoogle Scholar
  3.  3.
    Apfelberg DB, Maser MR, Lash H. Argon laser management of cutaneous vascular deformities. A preliminary report. West J Med. 1976;124(2):99-101.PubMedGoogle Scholar
  4.  4.
    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.PubMedGoogle Scholar
  5.  5.
    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.PubMedCrossRefGoogle Scholar
  6.  6.
    Tan OT, Murray S, Kurban AK. Action spectrum of vascular specific injury using pulsed irradiation. J Invest Dermatol. 1989;92(6):868-871.PubMedCrossRefGoogle Scholar
  7.  7.
    Reichert D. Evaluation of the long-pulse dye laser for the treatment of leg telangiectasias. Dermatol Surg. 1998;24:737-740.PubMedCrossRefGoogle Scholar
  8.  8.
    Sadick NS. Laser treatment of leg veins. Skin Therapy Lett. 2004;9(9):6-9.PubMedGoogle Scholar
  9.  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.PubMedCrossRefGoogle Scholar
  10. 10.
    Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science. 1983;220(4596):524-527.PubMedCrossRefGoogle Scholar
  11. 11.
    Kauvar ANB, Khrom T. Laser treatment of leg veins. Semin Cutan Med Surg. 2005;24:184-192.PubMedCrossRefGoogle Scholar
  12. 12.
    Ross EV, Domankevitz Y. Laser treatment of leg veins: physical mechanisms and theoretical considerations. Lasers Surg Med. 2005;36(2):105-116.PubMedCrossRefGoogle Scholar
  13. 13.
    Altshuler GB, Anderson RR, Manstein D, Zenzie HH, Smirnov MZ. Extended theory of selective photothermolysis. Lasers Surg Med. 2001;29(5):416-432.PubMedCrossRefGoogle Scholar
  14. 14.
    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.PubMedCrossRefGoogle Scholar
  15. 15.
    Seto Y, Kataoka M, Tsuge K. Stability of blood carbon monoxide and hemoglobins during heating. Forensic Sci Int. 2001;121(1–2):144-150.PubMedCrossRefGoogle Scholar
  16. 16.
    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.PubMedCrossRefGoogle Scholar
  17. 17.
    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.PubMedCrossRefGoogle Scholar
  18. 18.
    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.PubMedCrossRefGoogle Scholar
  19. 19.
    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.PubMedCrossRefGoogle Scholar
  20. 20.
    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.PubMedCrossRefGoogle Scholar
  21. 21.
    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.PubMedCrossRefGoogle Scholar
  22. 22.
    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.PubMedCrossRefGoogle Scholar
  23. 23.
    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.PubMedCrossRefGoogle Scholar
  24. 24.
    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.PubMedCrossRefGoogle Scholar
  25. 25.
    Kauvar AN, Lou WW. Pulsed alexandrite laser for the treatment of leg telangiectasia and reticular veins. Arch Dermatol. 2000;136(11):1371-1375.PubMedCrossRefGoogle Scholar
  26. 26.
    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.PubMedCrossRefGoogle Scholar
  27. 27.
    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.PubMedCrossRefGoogle Scholar
  28. 28.
    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.PubMedCrossRefGoogle Scholar
  29. 29.
    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.PubMedCrossRefGoogle Scholar
  30. 30.
    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.PubMedCrossRefGoogle Scholar
  31. 31.
    Black JF, Barton JK. Chemical and structural changes in blood undergoing laser photocoagulation. Photochem Photobiol. 2004;80:89-97.PubMedCrossRefGoogle Scholar
  32. 32.
    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.PubMedCrossRefGoogle Scholar
  33. 33.
    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.PubMedCrossRefGoogle Scholar
  34. 34.
    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.PubMedCrossRefGoogle Scholar
  35. 35.
    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.PubMedCrossRefGoogle Scholar
  36. 36.
    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.PubMedCrossRefGoogle Scholar
  37. 37.
    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.PubMedCrossRefGoogle Scholar
  38. 38.
    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.PubMedCrossRefGoogle Scholar
  39. 39.
    Goldman MP, Eckhouse S. Photothermal sclerosis of leg veins. Dermatol Surg. 1996;22:323-330.PubMedCrossRefGoogle Scholar
  40. 40.
    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.PubMedCrossRefGoogle Scholar
  41. 41.
    Green D. Photothermal removal telangiectasias of the lower extremities with the photoderm VL. J Am Acad Dermatol. 1998;38:61-68.PubMedCrossRefGoogle Scholar
  42. 42.
    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.PubMedCrossRefGoogle Scholar
  43. 43.
    Krivda MS. The latest approaches to treating leg veins. Skin Aging. 2005;13:72-77.Google Scholar
  44. 44.
    Sumner DS. Venous dynamics: varicosities. Clin Obstet Gynecol. 1981;24:743.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Robert A. Weiss
    • 1
  • Girish S. Munavalli
    • 2
  • Sonal Choudhary
    • 3
  • Angel Leiva
    • 3
  • Keyvan Nouri
    • 4
    • 5
  1. 1.Department of DermatologyJohns Hopkins University School of MedicineHunt ValleyUSA
  2. 2.Department of DermatologyJohns Hopkins UniversityCharlotteUSA
  3. 3.Department of Dermatology and Cutaneous SurgeryUniversity of Miami, Miller School of MedicineMiamiUSA
  4. 4.Sylvester Comprehensive Cancer CenterUniversity of Miami HospitalMiamiUSA
  5. 5.Clinics Department of Dermatology and Cutaneous SurgeryUniversity of Miami, Leonard M. Miller School of MedicineMiamiUSA

Personalised recommendations