Nd:YAG laser (1064 nm) irradiation for lower extremity telangiectases and small reticular veins: efficacy as measured by vessel color and size.

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  • Author(s): Rogachefsky AS;Rogachefsky AS; Silapunt S; Goldberg DJ
  • Source:
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] [Dermatol Surg] 2002 Mar; Vol. 28 (3), pp. 220-3.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Wolters Kluwer Health Country of Publication: United States NLM ID: 9504371 Publication Model: Print Cited Medium: Print ISSN: 1076-0512 (Print) Linking ISSN: 10760512 NLM ISO Abbreviation: Dermatol Surg Subsets: MEDLINE
    • Publication Information:
      Publication: 2021- : [Philadelphia] : Wolters Kluwer Health
      Original Publication: New York, NY : Elsevier Science, c1995-
    • Subject Terms:
      Leg Dermatoses/*radiotherapy ; Skin Diseases, Vascular/*radiotherapy ; Telangiectasis/*radiotherapy; Adult ; Aged ; Color ; Female ; Humans ; Leg Dermatoses/pathology ; Middle Aged ; Skin Diseases, Vascular/pathology ; Telangiectasis/pathology ; Veins/pathology
    • Abstract:
      Background: Laser treatment of lower extremity telangiectases and small reticular veins has remained difficult because of vessel color, diameter, depth, and associated high-pressure flow. Traditionally, larger-caliber blue leg veins do not respond well to laser treatment. Nd:YAG laser (1064 nm) irradiation is absorbed by oxyhemoglobin and reduced hemoglobin and is associated with greater depth of penetration than other previously studied vascular lasers.
      Objective: To evaluate a millisecond contact-cooled 1064 nm Nd:YAG laser for the treatment of telangiectases and small reticular veins.
      Methods: Twenty-one lower extremity sites, with Fitzpatrick skin types I-IV, received two laser treatments separated by a 4 to 6-week period. Blue and red vessels, ranging in size from 0.25 to 4.0 mm were treated. Pulse durations of 10-50 msec were utilized at fluences of 90-187 J/cm2. Three months after the last treatment, patients were evaluated for vessel improvement and complications.
      Results: Seventy-one percent of lower extremity vessels had improvement graded as significant. All vessel colors and sizes were successfully treated. The only complication at 3 months was postinflammatory hyperpigmentation.
      Conclusion: 1064 nm Nd:YAG laser irradiation with associated contact cooling is a safe and effective treatment for telangiectases and small reticular veins of the lower extremities.
    • Comments:
      Comment in: Dermatol Surg. 2002 Oct;28(10):969; author reply 969-70. (PMID: 12410688)
    • Publication Date:
      Date Created: 20020319 Date Completed: 20020604 Latest Revision: 20190906
    • Publication Date:
      20240829
    • Accession Number:
      10.1046/j.1524-4725.2002.01141.x
    • Accession Number:
      11896772