Use of a New Endovenous Laser Device: Results of the 1,500 nm Laser

Background

A new endovenous laser wavelength (1,500nm diode laser) in the treatment of great saphenous vein (GSV) reflux was evaluated. We studied the occlusion rate at 6 months and noted possible side effects.

Methods

In 129 patients, 158 GSVs were treated using the 1,500nm diode laser. An average linear endovenous energy density of 53.4J/cm and an average endovenous fluence of 32.21J/cm² were administrated to the vein.

Results

The occlusion rate at 6 months postoperative was 93.3%. Some of the nonoccluded veins closed spontaneously. A postoperative foam treatment was necessary in 3.4% of the treated veins. We found a marked shrinkage of the treated veins. There were limited side effects: moderate or severe ecchymosis in 19%, moderate pain in 1%, moderate periphlebitis in 8.2%, with no paresthesias.

Conclusion

Endovenous laser treatment of the GSV using a 1,500nm diode laser is effective and safe. The marked shrinkage of the treated veins can guarantee good long-term results.