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One facility is advocating 1064nm NdYag. Other facility is advising 1320nm for my varicose veins(endo venous). What is good?
Theoretically ,1320 would be a better choice since it would target the vessel
wall more than it targets the blood in the blood vessel.
The best results come from an experienced surgeon. The differences in wave lengths are minimal in the right hands
Both are good. What really matters is the knowledge and skill of the physician evaluating you and treating you.
Stephen F. Daugherty, MD, FACS, RVT, RPhS
Both are "Cool" lasers, targeting the water in the vessel walls and cells.
Both are effective in sealing leaking veins which will result in the
decompression of your varicose veins most of the time. The key is to have
adequate fluid placed around the vein to avoid heating the nerves and fat
around the vein. These procedures are best performed under local anesthesia
with only minimal oral sedation in the outpatient office setting. This way
physicians can be sure enough tumescent solution has been placed around the
vein which prevents intra-operative pain and post procedure pain.
Pass on the Nd: YAG 1064 if your saphenous vein is refluxing and go with the Endovenous procedure. If your vein is not refluxing and you have bulging veins, go with Ambulatory Phlebectomy. If we are just talking about spider and reticular veins, the choice between the Nd: YAG 1064 and routine sclerotherapy is yours, although the results with sclerotherapy are better and more long lasting.