Abstract
Patients with vascular lesions may benefit from a combination of different treatment modalities including sclerotherapy, phlebectomy, and intravascular thermoablation of larger vessels. Treatment with lasers and other intense light sources can be an important adjunct to these other modalities, and this is especially true in cases that have proven resistant to sclerotherapy and in patients who have developed telangiectatic matting after sclerotherapy. Surface vascular lesions can be treated effectively with a variety of lasers. There continue to be advances in the treatment of telangiectasias and other undesired veins. In general, lasers with shorter wavelengths have been more effective in treating more superficial, red telangiectasias versus those with longer wavelengths for treating deeper blue reticular veins up to 4 mm. Lower extremity telangiectasias can be resistant to laser treatment particularly when other high-pressure vessels have not been eradicated.
Keywords
- Intense Pulse Noncoherent Light
- Thermal Relaxation Time
- Longe Pulse Duration
- Potassium Titanyl Phosphate
- Superficial Vessel
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.
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
Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science. 1983;220:524–7.
Lee S. General principles and physics of lasers. 2008. See http://emedicine.medscape.com/article/838099-overview. Last accessed 22 Sept 2011.
De Felice E. Shedding light: laser physics and mechanism of action. Phlebology. 2010;25:11–28.
Nouri K, Alster TS, Ballard CJ. Laser treatment of acquired and congenital vascular lesions. 2011. See http://emedicine.medscape.com/article/1120509-overview. Last accessed 22 Sept 2011.
Lupton JR, Alster TS, Romero P. Clinical comparison of sclerotherapy versus long-pulsed Nd:YAG laser treatment for lower extremity telangiectases. Dermatol Surg. 2002;28:694–7.
Sadick NS. Long-term results with a multiple synchronized-pulse 1064 nm Nd:YAG laser for the treatment of leg venulectasias and reticular veins. Dermatol Surg. 2001;27:365–9.
Goldman MP. Laser treatment of cutaneous vascular lesions. In: Goldman MP, editor. Cutaneous and cosmetic laser surgery. Philadelphia: Mosby; 2006. p. 34.
Weiss R, Goldman MP. Laser treatment of leg veins. 2009. See http://emedicine.medscape.com/article/1085867-overview. Last access 28 Sept 2011.
Fournier N, Brisot D, Mordon S. Treatment of leg telangiectases with a 532 nm KTP laser in multipulse mode. Dermatol Surg. 2002;28:564–71.
Schroeter CA, Below SH, Neumann HA. Effective treatment of rosacea using intense pulsed light systems. Dermatol Surg. 2005;31:1285–9.
Kauvar AN, Lou WW. Pulsed alexandrite laser for the treatment of leg telangiectasias and reticular veins. Arch Dermatol. 2000;136:1371–5.
Ross EV, Anderson RR. In: Goldman MP, editor. Cutaneous and cosmetic laser surgery. Philadelphia: Mosby; 2006. p. 22.
Woo WK, Jasim ZF, Handley JM. 532-nm Nd:YAG and 595-nm pulsed dye laser treatment of telangiectasias using ultralong pulse duration. Dermatol Surg. 2003;29:1176–80.
Alam M, Dover JS, Arndt KA. Treatment of facial telangiectasias with variable-pulse high-fluence pulsed-dye laser: comparison of efficacy with fluences immediately above and below the purpura threshold. Dermatol Surg. 2003;29:681–5.
Ivey S, Fitzpatrick BE. Long-pulsed dye laser treatment for facial telangiectasias and erythema: evaluation of a single purpuric pass versus multiple subpurpuric passes. Dermatol Surg. 2005;31:898–902.
Brown CW. Complications of dermatologic laser surgery. 2009. See http://emedicine.medscape.com/article/1120837-overview. Last accessed 28 Sept 2011.
Weiss RA, Feied CF, Weiss MA, editors. Lasers and high intensity pulsed light in vein diagnosis and treatment. New York: McGraw-Hill; 2001. p. 177.
Tierney EP, Hanke CW. Alexandrite laser for the treatment of port wine stains refractory to pulsed dye laser. Dermatol Surg. 2011;37:1268–78.
Ross EV, Smirnov M, Pankratov M, Altshuler G. Intensed pulsed light and treatment of facial telangiectasias and dyspigmentation: some theoretical and practical comparisons. Dermatol Surg. 2005;31:1188–98.
Goldman MP, Bennett RG. Treatment of telangiectasias: a review. J Am Acad Dermatol. 1987;17:167.
Wilkin JK. Rosacea: pathophysiology and treatment. Arch Dermatol. 1994;130:359.
Mariwalla K, Dover JS. The use of lasers in the pediatric population. 2006. See http://www.medscape.com/viewarticle/519843. Last accessed 1 Oct 2011.
Pence B, Aybey B, Ergenekon G. Outcomes of 532 nm frequency-doubled Nd:YAG laser in the treatment of port-wine stains. Dermatol Surg. 2005;31:509–17.
Bernstein EF. High energy 595 nm pulsed dye laser improves refractory port wine stains. Dermatol Surg. 2006;32:26–31.
Bernstein EF. Clinical characteristics of 500 consecutive patients presenting for laser removal of lower extremity spider veins. Dermatol Surg. 2001;27:31–3.
Fitzpatrick TB. Soleil et peau. J Med Esthet. 1975;2: 33034.
Prahl S. Optical Absorption of Hemoglobin. http://omlc.ogi.edu/spectra/hemoglobin. 29 Oct 2011.
Jacques S. Extinction coefficient of melanin. http://omlc.ogi.edu/spectra/melanin/extcoeff.html. 20 Oct 2011.
Hale GM, Querry MR. Optical constants of water in the 200 nm to 200 μm wavelength region. Appl Opt. 1973;12:555–63.
van Veen RLP, Sterenborg HJCM, Pifferi A, Torricelli A, Cubeddu R. Determination of VIS- NIR absorption coefficients of mammalian fat, with time- and spatially resolved diffuse reflectance and transmission spectroscopy. OSA Annual BIOMED Topical Meeting, Miami Beach, FL, 2004.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Jackson, J., Feied, C.F. (2014). Transcutaneous Laser Vein Ablation. In: Mowatt-Larssen, E., Desai, S., Dua, A., Shortell, C. (eds) Phlebology, Vein Surgery and Ultrasonography. Springer, Cham. https://doi.org/10.1007/978-3-319-01812-6_13
Download citation
DOI: https://doi.org/10.1007/978-3-319-01812-6_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-01811-9
Online ISBN: 978-3-319-01812-6
eBook Packages: MedicineMedicine (R0)