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A Journal on Phlebology
Acta Phlebologica 2011 August;12(2):99-103
Nd:YAG laser 1064 nm treatment for lower extremity reticular veins
Colaiuda S., Brandi C., Grimaldi L., Colaiuda F., D’Aniello C.
Plastic and Reconstructive Surgery Operative Unit University of Siena, Siena, Italy
Aim. This paper aims to evaluate the efficacy of Nd:YAG laser 1064 nm treatment for lower extremity reticular veins.
Methods. Fifty female patients affected by lower limbs reticular veins, aged between 25 and 65 years, were treated. We conducted a clinical preventive screening to identify and evaluate possible bleeding disorders or other cardiovascular pathologies, and Doppler examination of lower limbs to exclude incontinent saphenous vein disorders. Five outpatient treatments were performed every 30 days using Nd:YAG laser 1064 nm (Palomax Lux 1064). In the first session of treatment a 6 mm diameter spot was used with 140 J/cm2 of energy and a pulse duration of 40 ms; in the second and third sessions a 3 mm diameter spot was used with 350 J/cm2 of energy and a pulse duration of 30 ms; in the fourth and fifth sessions a 1.5 mm diameter spot was used with 550 J/cm2 of energy and a pulse duration of 20 ms.
Results. In 36 cases an 80% reduction in the extent of the venous network compared to the initial state was observed after 3 treatment sessions, and in 32 cases a 90% reduction compared to the initial state was observed after 5 sessions,
Conclusion. The action of Nd:YAG laser 1064 nm has been particularly effective in non-invasive treatment of reticular veins in the legs, allowing an outpatient surgery technique that is well tolerated by patients. However, further studies are needed to confirm the results.