Successful treatment of spider leg veins with a high-energy, long-pulse, frequency-doubled Neodymium : YAG laser (HELP-G)

BACKGROUND. While sclerotherapy has been the standard treatment for spider leg veins for many years, recent advances have allowed lasers to be conside red as a treatment option. OBJECTIVE. TO study the efficacy of a frequency-doubled Nd: YAG laser at 53 2 mm with a 50 ms pulse width and chill tip device in the treatment of spid er leg veins. METHODS. Forty-six patients with spider leg veins with a diameter of less t han 1 mm or 1-2 mm were treated with a frequency-doubled Nd:YAG laser at 53 2 nm with a pulse width of 50 ms (VersaPulse HELP-G laser) while using a wa ter-cooled chill tip device. RESULTS. Of patients with veins less than 1 mm in diameter, 60% had greater than 50% clearing after one treatment and 80% had greater than 50% clearin g after two treatments. Of patients with veins 1-2 mm in diameter, 39% achi eved greater than 50% clearing after one treatment and 67% had greater than 50% clearing after two sessions. CONCLUSION. Our results suggest that the frequency-doubled Nd:YAG laser wit h a pulse width of 50 ms and chill tip device offers an excellent alternati ve to sclerotherapy in the treatment of small spider leg veins.