1064 nm Nd:YAG long pulse laser after polidocanol microfoam injection dramatically improves the result of leg vein treatment: A randomized controlled trial on 517 legs with a three-year follow-up

Abstract

The method leads to safe, fast and apparently permanent results. The treatment session lasts less than 1 h, and could become a first-choice treatment for the removal of all types of varicose veins with a diameter under 4 mm.

Treatment of chronic venous disorder: A comprehensive review

“…Unfortunately, only a limited number of studies have compared the safety and efficacy of TCL with sclerotherapy, the current standard of care for C1 stage 19,58–61 . Among the several laser modalities, the neodymium‐doped yttrium aluminum garnet (Nd:YAG) laser is the most thoroughly investigated 58–63 . Several studies have compared Nd:YAG laser with sclerotherapy 58,60,61 .…”

“…Parlar et al and Lupton et al found that treatment with Nd:YAG laser was significantly more painful and required more sessions compared with treatment with sclerotherapy 58,62 . The emergence of a combination method may eliminate the need to choose between TCL and sclerotherapy, as these two treatment options can be combined in order to achieve superior outcomes 59,63,64 . Moreno‐Morega et al offered combined treatment for leg telangiectasias and reticular veins that included injections of polidocanol microfoam followed by application of 1065 nanometer (nm) Nd:YAD laser in two consecutive sessions.…”

“…Interestingly, in the combination treatment group the amount of injected sclerosant was limited, allowing treatment of the entire surface areas of both legs of the included patients in the first treatment session. 63 Despite the promising results achieved by TCL, sclerotherapy still remains the standard of care for reticular veins and teleangiectasias. 19 Future studies are anticipated with great interest.…”

“…19,[58][59][60][61] Among the several laser modalities, the neodymium-doped yttrium aluminum garnet (Nd:YAG) laser is the most thoroughly investigated. [58][59][60][61][62][63] Several studies have compared Nd:YAG laser with sclerotherapy. 58,60,61 A randomized study by Ianosi et 58,62 The emergence of a combination method may eliminate the need to choose between TCL and sclerotherapy, as these two treatment options can be combined in order to achieve superior outcomes.…”

CLaCS – Cryo-Laser and Cryo-Sclerotherapy: the use of a transdermal laser in combination with sclerotherapy for the treatment of reticular varicosity

“…Согласно выводам работ некоторых авторов, наиболее целесообразно использовать комбинированное лечение, включающее как склеротерапию, так и трансдермальный лазер [8,9]. Сочетание повреждающих эндотелий факторов -склерозанта и лазерного фототермолиза улучшает результаты лечения.…”