A prototype vessel compressor helps efficient laser treatment of small leg veins

Abstract

The eradication of small leg veins with lasers continue to present problems. Visible light lasers (488 nm ∼ 595 nm) are well absorbed in haemoglobin but melanin is also a target, necessitating aggressive skin cooling to prevent damage to the epidermis and adding to the expense of these laser systems. A new generation of much less expensive semiconductor-based lasers operating in the near infrared offers a different approach, with protein as the main target rather than pigment. For visible light lasers, compression of the target vessels is a contraindication, since the target pigment is removed. For near IR diode lasers, however, compression of the vessels is a benefit, as the cooling effect of the blood flow is removed and the highly proteinous vessel walls are coapted which encourages efficient coagulative vessel closure. The prototype of a simple vessel compressor is presented, which first compresses vessels and coapts the walls, and then presents the coapted vessels as a target for a laser of an appropriate wavelength.

• Diode Laser
• Chromophore
• Photocoagulation
• Leg Veins
• Vessel Compression