Laser treatment of leg veins: Physical mechanisms and theoretical considerations

Lasers in Surgery and Medicine

Volumn 36, Issue 2, 2005, Pages 105-116

  Ross, Edward Victor ^a   Domankevitz, Yacov ^b  

^a NAVAL MEDICAL CENTER SAN DIEGO   (United States)

^b Candela Laser Corporation   (United States)

Author keywords

Laser; Leg; Light; Mechanism; Model; Telangiectasia

Indexed keywords

METHEMOGLOBIN;

EXPOSURE; HEAT; LEG VARICOSIS; LOW LEVEL LASER THERAPY; MONTE CARLO METHOD; PRIORITY JOURNAL; REVIEW; TELANGIECTASIA; THEORETICAL MODEL; THROMBOSIS;

HUMANS; LASER THERAPY, LOW-LEVEL; LEG; MONTE CARLO METHOD; PATIENT SIMULATION; SENSITIVITY AND SPECIFICITY; TELANGIECTASIS; VARICOSE VEINS;

EID: 14644407555     PISSN: 01968092     EISSN: None     Source Type: Journal    
DOI: 10.1002/lsm.20141     Document Type: Review

References (42)

1. Weiss RA, Dover JS. Leg vein management: Sclerotherapy, ambulatory phlebectomy, and laser surgery. Sem Cutan Med Surg 2002;21(1):76-103.
2. Weiss RA, Dover JS. Laser surgery of leg veins. Dermatol Clin 2002;20(1):19-36.
3. Weiss RA, Weiss MA. Early clinical results with a multiple synchronized pulse 1064 NM laser for leg telangiectasias and reticular veins. Dermatol Surg 1999;25(5):399-402.
4. West TB, Alster TS. Comparison of the long-pulse dye (590-595 nm) and KTP (532 nm) lasers in the treatment of facial and leg telangiectasias. Dermatol Surg 1998;24(2):221-226.
5. Sadick NS. Laser treatment with a 1064-nm laser for lower extremity class I-III veins employing variable spots and pulse width parameters. Dermatol Surg 2003;29(9): 916-919.
6. Sadick NS, Weiss R. The utilization of a new yellow light laser (578 nm) for the treatment of class I red telangiectasia of the lower extremities. Dermatol Surg 2002;28(1):21-25.
7. Sadick NS, Weiss RA, Goldman MP. Advances in laser surgery for leg veins: Bimodal wavelength approach to lower extremity vessels, new cooling techniques, and longer pulse durations. Dermatol Surg 2002;28(1):16-20.
8. Sadick NS. A dual wavelength approach for laser/intense pulsed light source treatment of lower extremity veins. J Am Acad Dermatol 2002;46(1):66-72.
9. Weiss RA. Comparison of endovenous radiofrequency versus 810 nm diode laser occlusion of large veins in an animal model [see comment]. Dermatol Surg 2002;28(1):56-61.
10. Weiss RA. Endovenous techniques for elimination of saphenous reflux: A valuable treatment modality. Dermatol Surg 2001;27(10):902-905.
11. Sadick NS. Manual of sclerotherapy. Philadelphia: Lippincott; 2000.
12. Wokalek H, Vanscheidt W, Martay K, Leder O. Morphology and localization of sunburst varicosities: An electron microscopic and morphometric study. J Dermatol Surg Oncol 1989;15(2):149-154.
13. Kienle A, Lilge L. Why do veins appear blue? A new look at an old question. Appl Opt 1996;35(7):1151-1160.
14. Coles CM, Werner RS, Zelickson BD. Comparative pilot study evaluating the treatment of leg veins with a long pulse ND:YAG laser and sclerotherapy. Lasers Surg Med 2002; 30(2):154-159.
15. Parlette E, Groff W, Kinshella M, Domankevitz Y, Ross E. Optimal pulse durations for the treatment of leg telangiectasias. Submitted for publication 8/14/04 to the Journal of the American Academy of Dermatology; 2004.
16. Goldman MP, Fronek A. Anatomy and pathophysiology of varicose veins. J Dermatol Surg Oncol 1989;15(2):138-145.
17. Goldman MP. Sclerotherapy treatment for varicose and telangiectatic veins in the United States: Past, present, and future. J Dermatol Surg Oncol 1990;16(7):606-607.
18. Jacques S. Skin Optics Summary. http://www.omlc.ogi.edu/ news/jan98/skinoptics.html 1998.
19. Wang L, Jacques S, Zheng L. MCML-Monte Carlo modeling of photon transport in multi-layered tissues. Comput Methods Programs Biomed 1995;47:131.
20. Black JF, Barton JK. Chemical and structural changes in blood undergoing laser photocoagulation. Photochem Photobiol 2004;80:89-97.
21. Barton JK, Frangineas G, Pummer H, Black JF. Cooperative phenomena in two-pulse, two-color laser photocoagulation of cutaneous blood vessels. Photochem Photobiol 2001;73(6): 642-650.
22. Jacques SL, Prahl SA. Modeling optical and thermal distributions in tissue during laser irradiation. Lasers Surg Med 1987;6(6):494-503.
23. Sadick NS. Long-term results with a multiple synchronized-pulse 1064 nm Nd:YAG laser for the treatment of leg venulectasias and reticular veins. Dermatol Surg 2001; 27(4):365-369.
24. Rogachefsky AS, Silapunt S, Goldberg DJ. Nd:YAG laser (1064 nm) irradiation for lower extremity telangiectases and small reticular veins: Efficacy as measured by vessel color and size. Dermatol Surg 2002;28(3):220-223.
25. Passeron T, Olivier V, Duteil L, Desruelles F, Fontas E, Ortonne JP. The new 940-nanometer diode laser: An effective treatment for leg venulectasia. J Am Acad Dermatol 2003; 48(5):768-774.
26. Omura NE, Dover JS, Arndt KA, Kauvar AN. Treatment of reticular leg veins with a 1064 nm long-pulsed Nd:YAG laser. J Am Acad Dermatol 2003;48(1):76-81.
27. Mordon S, Brisot D, Fournier N. Using a "non uniform pulse sequence" can improve selective coagulation with a Nd:YAG laser (1.06 microm) thanks to Met-hemoglobin absorption: A clinical study on blue leg veins. Lasers Surg Med 2003;32(2): 160-170.
28. Major A, Brazzini B, Campolmi P, Bonan P, Mavilia L, Ghersetich I, Hercogova J, Lottit T. Nd:YAG 1064 nm laser in the treatment of facial and leg telangiectasias. J Eur Acad Dermatol Venereol 2001;15(6):559-565.
29. Kauvar AN. The role of lasers in the treatment of leg veins. Sem Cutan Med Surg 2000;19(4):245-252.
30. Fournier N, Brisot D, Mordon S. Treatment of leg telangectasias with a 1,064nm Nd YAG laser in multipulse mode emission and contact cooling (abstract). World Congress of Dermatology; 2002.
31. McClurken M, Lipson D. Collagen shrinkage and vessel sealing. Technical Brief #300. Dover, NH: Tissue Link, Inc.; 2001.
32. Barton JK, Rollins A, Yazdanfar S, Pfefer TJ, Westphal V, Izatt JA. Photothermal coagulation of blood vessels: A comparison of high-speed optical coherence tomography and numerical modelling. Phys Med Biol 2001;46(6):1665- 1678.
33. Garden JM, Tan OT, Kerschmann R, Boll J, Furumoto H, Anderson RR, Parrish, JA. Effect of dye laser pulse duration on selective cutaneous vascular injury. J Invest Dermatol 1986;87(5):653-657.
34. Tanghetti E, Sierra RA, Sherr EA, Mirkov M. Evaluation of pulse-duration on purpuric threshold using extended pulse pulsed dye laser (cynosure V-star). Lasers Surg Med 2002;31(5):363-366.
35. Randeberg LL, Daae Hagen A, Svaasand L. Optical properties of human blood as a function of temperature. Proc Soc Photo-Instrum Eng 2002;4609:20-29.
36. Barton JK, Vargas G, Pfefer TJ, Welch AJ. Laser fluence for permanent damage of cutaneous blood vessels. Photochem Photobiol 1999;70(6):916-920.
37. Barton JK, Hammer DX, Pfefer TJ, Lund DJ, Stuck BE, Welch AJ. Simultaneous irradiation and imaging of blood vessels during pulsed laser delivery. Lasers Surg Med 1999;24(3):236-243.
38. Suthamjariya K, Farinelli WA, Koh W, Anderson RR. Mechanisms of microvascular response to laser pulses. J Investig Dermatol 2004;122(2):518-525.
39. Pearson M, McClurken M, Thompson R. Saline enhanced thermal sealing of tissue: Potential for bloodless surgery. Min Invas Ther and Allied Technol 2002;11(5/6):265-270.
40. Gorisch W, Boergen KP. Heat-induced contraction of blood vessels. Lasers Surg Med 1982;2(1):1-13.
41. Crompton J. Lasers in ophthalmology and the military. ADF Health 2001;2:85-88.
42. Green D. Sclerotherapy for the permanent eradication of varicose veins: Theoretical and practical considerations. J Am Acad Dermatol 1998;38(3):461-475.