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A Journal on Phlebology
Acta Phlebologica 2002 December;3(3):137-9
Transdermal laser treatment with fiber of reticular veins and of the first- and the second-order collateral veins using a mixed endovascular and paravascular technique. Preliminary experience
Pepe N. R., Meloni V.
Department of Surgical Sciences and Applied Medical Technologies “F. Durante”, “La Sapienza” University, Rome, Italy
Following personal experience in the endovascular treatment of the internal and external saphenous veins, the authors have extended the use of the laser fiber to the perforating and reticular veins that supply teleangectasias. The fiber carries mainly thermal energy and, in the second place, laser radiation, selectively to the desoxy-haemoglobinic chromophore, directly where it is required, without having to pass beyond the cutis and thus avoiding all the associated problems, i.e. reduction of the radiation due to diffraction and transfer of thermal energy, with consequent heat-related side effects. The technique, which is simple and basically non-surgical, is described here. Forty-five patients have been treated over a period of 18 months. The advantages are the simplicity of the technique, the action, which is thermal and not chemical, and the absence of matting. The disadvantages are the cost of the laser and of the fiber. Although the number of cases treated so far is limited and the follow-up period short, the promising results are inducing us to use this technique more frequently in future, investigating the doses and broader indications.