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Leg veins with diameter between 1 and 3 mm: flash-lamp-pulsed dye laser, alexandrite laser, invasive Nd:YAG laser treatment, or sclerotherapy?
Author(s): Roman Smucler; Jiri Mazanek; Marta Moidlova
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Paper Abstract

After unrealistic laser expectations we can see renaissance of 'golden standard' -- sclerotherapy in leg veins treatment. Every laser specialist knows difference between facial and leg veins now. Combination of flash lamp pulsed dye laser /PDL/ and sclerotherapy can be new 'golden standard' but patients are dissatisfied with this procedure which include 'needle medicine.' We presented our way to solve this problem partially-invasive laser treatment with Nd:YAG laser last year. Another trend is introduction of new modifications of near infrared lasers. GentleLASE/Candela, MA/ with dynamic cooling is one of them. We treat veins from 0 - 1 mm in diameter very successfully with PDL/ScleroPlus, Candela, MA/, bigger veins we recommend for minimal invasive or classical surgery. Combination of lasers is we think only one possibility for successful laser treatment. Aim of our work is comparison of sclerotherapy with combinated treatments with PDL, near infrared laser and invasive Nd:YAG laser for veins in diameter between 1 - 2 mm. Results show that combination of lasers offer same results with comparable side effects like sclerotherapy that is cheaper and most common of course. Patients prefer pure laser therapy with combination of pulsed dye laser and alexandrite laser. We think that isn't one best method, decision is one the doctor and patient.

Paper Details

Date Published: 17 May 2000
PDF: 8 pages
Proc. SPIE 3907, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems X, (17 May 2000); doi: 10.1117/12.386251
Show Author Affiliations
Roman Smucler, 1st Medical School of Charles Univ. Prague and ASKLEPION-Lasercentrum Prague (Czech Republic)
Jiri Mazanek, 1st Medical School of Charles Univ. Prague (Czech Republic)
Marta Moidlova, ASKLEPION-Lasercentrum Prague (Czech Republic)


Published in SPIE Proceedings Vol. 3907:
Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems X
R. Rox Anderson; Kenneth Eugene Bartels; Lawrence S. Bass; C. Gaelyn Garrett; Kenton W. Gregory; Nikiforos Kollias; Harvey Lui; Reza S. Malek; George M. Peavy; Hans-Dieter Reidenbach; Lou Reinisch; David S. Robinson; Lloyd P. Tate; Eugene A. Trowers; Timothy A. Woodward; Kenton W. Gregory; Eugene A. Trowers; Timothy A. Woodward; David S. Robinson; Hans-Dieter Reidenbach; Kenneth Eugene Bartels; Lloyd P. Tate; George M. Peavy; Lou Reinisch; C. Gaelyn Garrett; Reza S. Malek, Editor(s)

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