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Phlebology. 2014 Dec;29(10):658-66. doi: 10.1177/0268355513502786. Epub 2013 Aug 29.

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.

Author information

1
Instituto Médico Láser, Madrid, Spain.
2
National Institute for Laser, Plasma and Radiation Physics, Bucharest, Romania.
3
Instituto Médico Vilafortuny, Cambrils, Tarragona, Spain imv@laser-spain.com.

Abstract

OBJECTIVE:

To assess the efficacy and safety of a new method of clearing varicose veins in the long term. It consists of applying the long-pulsed Nd:YAG laser following the injection of polidocanol microfoam, in two consecutive sessions, treating both legs in full in each session.

METHOD:

Randomized, Polidocanol-controlled, blind evaluation clinical trial comparing the results between 79 legs treated with Polidocanol and 517 treated with Polidocanol + Laser. Photographs were taken preoperatively and at three months, two years and three years after treatment, as well as patient self-assessments.

RESULTS:

Polidocanol + Laser is much more effective than polidocanol microfoam in clearing venulectasias with a diameter under 4 mm (p < 0.001). After three years, clearing percentages of 89% (Class I veins), 94% (Class II veins) and 95% (Class III veins) are observed, in comparison to 15%, 18% and 17%, respectively when only polidocanol was applied. No unexpected adverse effects were found and 86% of patients stated they were Satisfied or Very Satisfied.

CONCLUSION:

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.

KEYWORDS:

Nd:YAG laser; Sclerotherapy; polidocanol; reticular veins; spider veins; varicose veins

PMID:
23989971
DOI:
10.1177/0268355513502786
[Indexed for MEDLINE]

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