Potential Complications of Intralesional Laser Photocoagulation for Extensive Vascular Malformations

Fisher, David M.; Chang, Cheng Jen; Chua, Jun Jin; Chen, Yu Ray; Achauer, Bruce M.

doi:10.1097/00000637-200109000-00006

Cited by 15 publications

(7 citation statements)

References 17 publications

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“…For the correct treatment of a lesion with high blood content it is necessary to choose a laser emitting in a wavelength well absorbed by haemoglobin. KTP, diode, Nd:YAG and CO2 are the most effective wavelengths in these cases (4,23,26). …”

Section: Discussionmentioning

confidence: 99%

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Laser treatment of 13 benign oral vascular lesions by three different surgical techniques

Romeo¹,

Vecchio²,

Russo³

et al. 2013

Med Oral

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Objectives: Benign Oral Vascular Lesions (BOVLs) are a group of vascular diseases characterized by congenital, inflammatory or neoplastic vascular dilations clinically evidenced as more or less wide masses of commonly dark bluish color. If traumatized BOVLs are characterized by a great risk of hemorrhage and their treatment usually requires great caution to prevent massive bleeding. In the last decades lasers have dramatically changed the way of treatment of BOVLs permitting the application of even peculiar techniques that gave interesting advantages in their management reducing hemorrhage risks. The aim of this study was to evaluate the capabilities and disadvantages of three laser assisted techniques in the management of BOVLs. Study design: In this study 13 BOVLs were treated by three different laser techniques: the traditional excisional biopsy (EB), and two less invasive techniques, the transmucosal thermocoagulation (TMT) and the intralesional photocoagulation (ILP). Two different laser devices were adopted in the study: a KTP laser (DEKA, Florence, Italy, 532nm) and a GaAlAs laser (Laser Innovation, Castelgandolfo, Italy, 808nm) selected since their great effectiveness on hemoglobin. Results: In each case, lasers permitted safe treatments of BOVLs without hemorrhages, both during the intervention and in the post-operative period. The minimally invasive techniques (TMT and ILP) permitted even the safe resolution of big lesions without tissue loss. Conclusions: Laser devices confirm to be the gold standard in BOVLs treatment, permitting even the introduction of minimal invasive surgery principles and reducing the risks of hemorrhage typical of these neoplasms. As usual in laser surgery, it is necessary a clear knowledge of the devices and of the laser-tissue interaction to optimize the results reducing risks and disadvantages. Key words:Oral vascular diseases, laser, photocoagulation.

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Section: Discussionmentioning

confidence: 99%

“…The ILP treatment is another minimally invasive procedure (4). It allows the laser to release its energy directly into the lesions.…”

Section: Introductionmentioning

confidence: 99%

Laser treatment of 13 benign oral vascular lesions by three different surgical techniques

Romeo¹,

Vecchio²,

Russo³

et al. 2013

Med Oral

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“…Side-effects 1,30,[169][170][171][172][173][174] Complications from laser treatment are reduced by operator education and experience. 1 Pain.…”

Section: Leg Veins and Telangiectasiasmentioning

confidence: 99%

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Adamič¹,

Pavlović

Rubin

et al. 2015

Acad Dermatol Venereol

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Aim Lasers and non-coherent intense pulse light sources (IPLS) are based on the principle of selective photothermolysis and can be used for the treatment of many vascular skin lesions. A variety of lasers has been developed for the treatment of congenital and acquired vascular lesions which incorporate these concepts into their design. Although laser and light sources are very popular due to their non-invasive nature, caution should be considered by practitioners and patients to avoid permanent side-effects. The aim of these guidelines is to give evidence-based recommendations for the use of lasers and IPLS in the treatment of vascular lesions. Results Lasers and IPLS are very useful and sometimes the only available method to treat various vascular lesions. It is of a paramount importance that the type of laser or IPLS and their specific parameters are adapted to the indication but also that the treating physician is familiar with the device to be used. The crucial issue in treating vascular lesions is to recognize the immediate end-point after laser treatment. This is the single most important factor to ensure both the efficacy of the treatment and avoidance of serious side-effects. Methods Conflicts of interestNone declared. Funding sourceNone.Since the publication of previous European Society of Laser Dermatology (ESLD) guidelines in 2007, there have been significant advances in the field of laser treatment of common vascular lesions.1 These guidelines have been updated by the Consensus Panel under the auspices of the ESLD. Methodology, search strategy and recommendation formulation are described in Appendix II. A brief overview of vascular lasersStandard vascular lasers include pulsed dye lasers (585 and 595 nm), and KTP-lasers (532 nm), followed by longer wavelength lasers such as alexandrite lasers (755 nm), diode lasers (800-900 nm) and millisecond Nd:YAG lasers (1064 nm). New developments include a non-uniform pulse sequence or a dual-wavelength modality (combined dual wavelength 595 and 1064 nm-pulsed dye and Nd:YAG laser) and microsecond Nd: YAG lasers. [2][3][4][5][6] Even fractional photothermolysis has begun to be used for selected vascular lesions. Lasers' and intense pulse light sources (IPLS) effects are based on the principle of selective photothermolysis. In general, they deliver a precisely graded aliquot of energy to a defined area of the skin in a reproducible, standardized manner that almost always involves addition or evacuation of heat. The greatestThe first two authors have contributed equally to the manuscript.

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“…Safe and effective use of lasers in angioplasty [20] and for the treatment of vascular lesions [21][22][23][24] and hemangiomas [25,26], has been variously reported. Encouraged by these clinical applications of lasers, we treated varicose veins of the lower limbs by a new method we named endovenous laser photocoagulation (EVLP).…”

Section: Introductionmentioning

confidence: 99%

Endovenous laser photocoagulation (EVLP) for varicose veins

Chang¹,

Chua²

2002

Lasers Surg Med

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146

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Potential Complications of Intralesional Laser Photocoagulation for Extensive Vascular Malformations

Cited by 15 publications

References 17 publications

Laser treatment of 13 benign oral vascular lesions by three different surgical techniques

Laser treatment of 13 benign oral vascular lesions by three different surgical techniques

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Endovenous laser photocoagulation (EVLP) for varicose veins

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