The Role of the Sciton Profile Nd-Yag Laser in the Reduction of Cutaneous Varicosities, a Pilot Study
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 19, Issue 5
Abstract
The current pilot study reports a 19 patient case series to determine the effectiveness of the Sciton Profile Nd- YAG laser in the reduction of cutaneous vessels. Documentation was made of vessel characteristics including color, size, location, percentage reduction and laser settings including pulse width, fluence, numbers of synchronous passes and frequency of applications. We conclude that for vessels less than 4mm in diameter, using between 120- 350 Joules/cm2 , 15-20millisecond duration and 1-3 passes, resulted in greater than 50% clearance without, complication for both red and blue-black vessels. he precise role of the Nd-Yag in the treatment of cutaneous varicosities remains controversial. Treatment choices include sclerotherapy [1,2], laser [3], dual wavelength laser [4], combination sclerotherapy /laser [5,6,7], end-venous laser [8] or radiofrequency [9] and microsurgical or conventional phlebectomy [10]. The vascular literature supports the primary use of sclerotherapy for vessels less than 5mm [7]. Some unattractive features of sclerotherapy include the need of the operator to be comfortable using an end-venous injectable. The latter requires a greater degree of dexterity and longer clinical experience than for the use of most lasers in order to achieve a satisfactory result [4]. Laser therapy is also an attractive adjunct or alternative in patients with needle phobia, post-sclerotherapy complications such as neovascularization, otherwise known as matting, the rare person with sclerosant allergy and hemosiderin / brown staining [1]. The latter can be avoided by aspiration of a superficial coagulated vessel, also requiring specific operator skill [2]. Post-sclerotherapy complication rates are variable and in part seem dependent on the concentration of a sclerosant used [11]. Variables which may influence overall success of laser therapy include the laser manufacturer’s design and calibrations, wavelength, fluence, pulse duration, numbers of consecutive pulses per treatment, pulse interval, pre/concomitant/post cooling, cooling temperature, degree of vascular compression during treatment, application of topical anesthetics, Fitzpatrick skin type, use of post laser compression garments, frequency and interval of retreatments and presence or absence of untreated superficial vein and perforator incompetence [12].
Authors and Affiliations
Rex Moulton Barrett, Isabella Kobylinska, Lisa Derita
Keywords
Related Articles
- EP ID EP623324
- DOI 10.26717/BJSTR.2019.19.003365
- Views 172
- Downloads 0
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