321 results match your criteria: "Laser Treatment of Leg Veins"

Objective: Aim: The purpose was to improve the results of treatment of chronic diseases of the lower extremities veins by using endovenous high-frequency electric welding in automatic mode, and to evaluate the obtained results..

Patients And Methods: Materials and methods: The results of treatment of 146 patients with chronic diseases of the lower extremities veins in the period from 2018 to 2023 were analyzed.

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Article Synopsis
  • The study aimed to assess changes in the great saphenous vein (GSV) and its tributaries following endovenous laser ablation (EVLA) with a focus on hemodynamic and anatomic outcomes.
  • A total of 112 areas in 28 legs from 25 patients were analyzed before and three months after the procedure, revealing significant reductions in GSV diameter and tributary diameters across all regions studied.
  • Post-treatment, the number of refluxing tributaries decreased significantly, and the overall condition of patients improved as shown by a notable drop in the Venous Clinical Severity Score (VCSS).
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  • Active venous leg ulcers (VLU) are a serious form of chronic venous disease that drastically impact patients' health and quality of life, prompting economic concerns due to the need for treatment.* ! -
  • The study describes three patients with active VLUs treated through endovenous laser ablation (EVLA), which involved using specific laser energy protocols to target severe great saphenous vein reflux.
  • Follow-up results showed significant healing of the ulcers and reduced venous clinical severity scores, indicating that EVLA is a safe and effective treatment for patients with VLUs.
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  • Transdermal laser treatment for varicose veins can be painful, prompting a study to explore a technique using tumescent anesthesia to minimize discomfort.
  • The study compared pain levels in patients treated with tumescent anesthesia on one side versus standard treatment on the other, using the Visual Analogue Scale to assess pain.
  • Results showed a significant reduction in pain with tumescent anesthesia (0.0) compared to standard treatment (7.9), indicating that this method could enhance the laser treatment experience.
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Treatment of varicose veins using the Cryo laser after foam technique.

J Vasc Surg Cases Innov Tech

August 2024

Prime Vascular, Porto Alegre, Rio Grande do Sul, Brazil.

Article Synopsis
  • * Combining laser treatment with hypertonic glucose sclerotherapy has shown great results for veins up to 2 mm in size.
  • * A new approach using foam sclerotherapy followed by laser treatment can effectively treat larger reticular veins (over 2.5 mm), as demonstrated in a successful case report.
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  • - Varicose veins are a chronic venous disease that can lead to significant healthcare complications if treatment is delayed; common treatments include endovenous laser ablation (EVLA) and stab avulsion.
  • - A 71-year-old woman received innovative treatment for chronic venous insufficiency using direct varicose ablation, which was performed for the first time at the National Cardiovascular Center - Harapan Kita in Indonesia.
  • - The procedure resulted in complete obliteration of the incompetent great saphenous vein without any incisions or complications, and the patient was discharged with no significant issues two days later, highlighting the effectiveness of the Utoh's technique.
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  • - The study aimed to compare the effectiveness of endovenous microwave ablation (EMA) versus endovenous laser ablation (EVLA), both combined with high ligation, foam sclerotherapy, and compression therapy (HL-FS-CT) for treating venous leg ulcers (VLUs).
  • - A total of 301 patients treated from 2013 to 2022 were analyzed, with 134 receiving EMA and 167 receiving EVLA. The average healing times were 1.45 months for EMA and 1.86 months for EVLA, showing no significant differences in ulcer healing times or complications between the two methods.
  • - Both treatment combinations proved effective for ulcer healing, but the study concluded that
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  • The study investigates the effectiveness of long-pulsed 1064 nm Nd:YAG laser in treating leg veins, showing that it's particularly effective for veins up to 3 mm in diameter.
  • A literature review was conducted with 26 articles included, showing that this laser therapy offers safe and positive clinical results, comparable to sclerotherapy but generally less painful.
  • The findings suggest that combining Nd:YAG laser therapy with sclerotherapy or other treatments might lead to significantly better clearance outcomes for smaller veins.
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[Spontaneous femoral arterio-venous fistula in an 80-year-old female patient as an incidental finding].

Dtsch Med Wochenschr

February 2024

Praxis für Gefäßmedizin und Venenzentrum, Bad Wildbad, GERMANY.

Article Synopsis
  • Spontaneous arteriovenous fistulas (AVF) are very rare and often go undiagnosed unless specific risks or symptoms are present.* -
  • An 80-year-old woman experienced swelling and varicosis in her left leg while noticing a cooler right foot, which ultimately led to the discovery of an AVF between her common femoral artery and anterior saphenous vein.* -
  • Despite undergoing treatment for varicosis, the patient declined closure of the AVF; over a 4-year follow-up, she showed no significant complications related to it.*
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Pathergy After Endovenous Ablation for Lower-Extremity Venous Disease: A Case Report of an Unexpected Complication.

J Am Podiatr Med Assoc

January 2024

†Ocean County Foot & Ankle Surgical Associates, Toms River, NJ.

Article Synopsis
  • A 64-year-old woman presented with ankle wounds and was found to have small saphenous vein insufficiency after various tests.
  • Despite 8 weeks of standard treatment, her left ankle wound took 8 months to heal, while a new wound appeared on her right leg that healed in 3 months.
  • Post-surgery for endovenous ablation of the left small saphenous vein, she experienced complications with an incisional ulcer, illustrating potential adverse effects of this procedure.
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Article Synopsis
  • Varicosis is a common venous condition usually treated surgically, but selecting the best surgical method can be difficult due to biases in previous studies comparing endovenous laser treatment (EVLT) and traditional surgery.
  • The aim of the study was to evaluate the perioperative and postoperative outcomes of EVLT compared to conventional surgery specifically for the treatment of great saphenous vein varicosis, using a more reliable method to reduce selection bias.
  • After analyzing records of 772 patients and applying propensity score matching, the study found no significant differences in outcomes between the EVLT and conventional surgery groups after accounting for various demographic and health-related factors.
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  • Venous Ulcers (VU) are a common type of leg ulcer caused by problems like venous hypertension or valve failure, making up 60-80% of all cases.
  • While traditional treatment methods that target the underlying causes are standard, about 30% of these ulcers don't heal with those approaches, leading to the exploration of growth factors as additional treatments.
  • A review of various studies from 2002 to 2022 found that topical, intralesional, and perilesional applications of growth factors could be effective, with the latter suggesting a promising alternative treatment for venous ulcers.
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  • The study aimed to assess changes in blood flow and pressure in patients with varicose veins after surgery for SSV reflux using a specific measurement technique called APG.
  • A total of 181 limbs from 178 patients underwent various surgical methods (HLS, RFA, EVLA) between 1995 and 2022, with key measurements taken before and after surgery.
  • Results showed significant improvements in venous function one and six months post-surgery, including reduced venous volume and increased ejection fraction, indicating better blood flow in the lower leg.
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Article Synopsis
  • The study addresses the issue of great saphenous vein (GSV) incompetence, a leading cause of chronic venous disease, and tests the effectiveness of compression dressing durations post-varicose vein surgery.
  • Two groups were formed: Group-A wore compression dressings for 2 days, while Group-B wore them for 7 days, with a primary focus on assessing postoperative pain.
  • Results showed that Group-A had a higher mean pain score (4.5) compared to Group-B (2.9), indicating that a longer duration of compression dressing may lead to less postoperative pain.
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Article Synopsis
  • * Results showed that Endovenous Laser Ablation (EVLA) was the most effective, achieving nearly complete vein closure in almost all patients after one year, while other methods like Radiofrequency Ablation (RFA) and cyanoacrylate obliteration had varying success rates.
  • * The conclusion emphasized that while EVLA provided superior long-term results, non-thermal methods, such as foam sclerotherapy, were beneficial due to their lower costs and fewer side effects related to anesthesia and compression.
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Article Synopsis
  • Vascular lesions like varicose veins and telangiectasias are common skin issues for dermatologists, and laser therapy has become a popular treatment option in recent years.
  • The 1064-nm Nd:YAG laser is favored for its safety and effectiveness, as its longer wavelength allows for deeper skin penetration without damaging surrounding tissues, leading to fewer side effects.
  • Studies indicate that over 75% of patients see significant improvement in their vascular lesions with this laser, and it has also been effective for conditions like port wine stains and hemangiomas with minimal adverse events.
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  • - Telangiectasias, which are small, dilated blood vessels, mainly occur on the lower limbs and affect about 40%-90% of people.
  • - Common treatments include sclerotherapy, laser therapy, and microphlebectomy, with a newer method called Cryo-Laser & Cryo-Sclerotherapy (CLaCS) combining thermal laser and injection techniques.
  • - In a case report presented, CLaCS was effectively used to treat a difficult case of telangiectasias, using a cooling device to protect the skin during the procedure.
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  • The study investigates the effectiveness of ultrasound-guided percutaneous laser ablation for treating tributary varicose veins using a specialized slim-type radial fiber.!
  • It involved 1,000 patients who underwent endovenous laser ablation, with results showing no complications such as skin burns or nerve injuries.!
  • The findings suggest that this method provides a safe and efficient approach to address issues related to traditional ambulatory phlebectomy treatments.!
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Article Synopsis
  • Cryo-Laser & Cryo-Sclerotherapy (CLaCS) is a medical procedure that helps with small veins using a laser and injections, while also cooling the skin.
  • The study compared two groups of patients who received different sclerosing agents (substances that help close the veins) along with the same laser treatment.
  • Results showed that both treatments were safe and effective, but those who used polidocanol had less pain and better results in photos, though both methods worked well overall.
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  • * The study included healthy individuals and lymphedema patients, where indocyanine green was injected and PAL imaging was used to measure lymphatic vessel depths at specific points on the leg.
  • * Results showed that lymphatic vessels were significantly deeper in patients with lymphedema compared to healthy individuals, indicating that PAL can help both experienced and novice surgeons locate functional lymphatic vessels more easily.
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Sclerotherapy in Aesthetic Medicine: Myths and Realities.

Dermatol Surg

September 2022

All authors are affiliated with the Cosmetic Laser Dermatology, A West Dermatology Company, San Diego, California.

Article Synopsis
  • Sclerotherapy is often used to get rid of leg veins, but there are common misconceptions about its effectiveness and safety that need to be addressed.* -
  • The review shows that sclerotherapy is safe for treating veins in most areas (except the face), and it's not less effective than laser therapy for small leg veins; also, the type of syringe and use of compression stockings are critical considerations.* -
  • Key recommendations include waiting 2 months for touch-up treatments, avoiding treating leg veins in sections, and ensuring feeding reticular veins are treated to achieve satisfactory results.*
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  • * Found that men showed greater improvement in Venous Clinical Severity Score (VCSS), while women reported higher reductions in total symptom scores and experienced fewer complications overall.
  • * Concluded that both genders benefited similarly from the procedure, but highlighted that women had distinct advantages in lower complication rates and greater improvement under specific conditions.
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Article Synopsis
  • * The study involved laser tests on mice, using two different wavelengths (532 nm and 1064 nm) to assess the effects on blood vessels.
  • * Results showed that smaller blood vessels (under 30 μm) could be disrupted with specific laser settings, while larger veins and arteries required different parameters for effective treatment.
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Objective: Klippel-Trenaunay syndrome (KTS) is a congenital mixed mesenchymal malformation syndrome that includes varicose veins, capillary and venous malformations, lymphatic abnormalities, and hypertrophy of various connective tissue elements. The purpose of the present study was to describe the clinical characteristics and outcomes in a subset of patients with KTS in whom venous interventions, including iliofemoral venous stenting, were performed after failure of conservative therapy.

Methods: A single-center retrospective data review of 34 patients with KTS who had undergone interventions for venous disease between January 2000 and December 2020 was performed.

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