Industry Resources

Effect of the wide-spread use of endovenous laser ablation on the treatment of varicose veins in Japan: a large-scale, single institute study

Effect of the wide-spread use of endovenous laser ablation on the treatment of varicose veins in Japan: a large-scale, single institute study

This study evaluates varicose vein treatments at a Japanese hospital, comparing stripping surgery and endovenous laser ablation (EVLA) with 980 nm and 1470 nm diode lasers. From October 2013 to December 2015, 289 patients were assessed. EVLA using the 1470 nm laser showed shorter operative times (22 minutes vs. 31 minutes for the 980 nm laser) and less pain. The EVLA group had a 99.6% occlusion rate after two years. EVLA with the 1470 nm laser is recommended for saphenous vein reflux, though traditional surgery is necessary for veins >20 mm or highly tortuous veins.


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Twenty Years’ Experience with Endovenous Laser Ablation forVaricose Veins: A Critical Appraisalof the Original Procedure

Twenty Years’ Experience with Endovenous Laser Ablation forVaricose Veins: A Critical Appraisalof the Original Procedure

Endovenous laser ablation (EVLA) for varicose veins is conducted in an ambulatory setting using tumescent local anesthesia (TLA). Technical advancements have reduced the need for multiple incisions, re-punctures, and minimized complications such as ecchymosis and technical failures. Using a 1470-nm diode laser with a radial fiber has enhanced patient satisfaction and lowered complication rates. The appropriate administration of TLA via infusion pump has decreased nerve injury risk, administration time, and procedural pain. High ligation and stripping are now rarely indicated. Over the past 20 years, EVLA has become an effective, cost-efficient, and safe procedure with high patient satisfaction.


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Prospects of Endovenous Laser Ablation (EVLA) Standardization—Mid-Term Results of a Four-Zone Dosimetry Guiding Tool for 1940 nm Laser

Prospects of Endovenous Laser Ablation (EVLA) Standardization—Mid-Term Results of a Four-Zone Dosimetry Guiding Tool for 1940 nm Laser

This study presents mid-term results of endovenous laser ablation (EVLA) using a 1940 nm laser and radial fiber, supported by a four-zone dosimetry tool for standardization. The tool defines four anatomical zones for great saphenous veins (GSV) and two for small saphenous veins (SSV) with specific power levels. In 152 patients (185 procedures) with an 11.9-month mean follow-up, GSV occlusion rates were 98.9% at 1 month and 93.7% at 12 months. Complications were minimal, including laser-induced paraesthesia (2.2%) and endovenous heat-induced thrombosis (1.6%) at 1 month. The proposed tool standardizes EVLA dosimetry and shows promising results.


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The temperature effects of diode laser on pulpal tissues forthe teeth whitening treatment

The temperature effects of diode laser on pulpal tissues forthe teeth whitening treatment

 Teeth whitening using laser diode technology has gained popularity due to its advantages, such as shorter treatment times, and reduced tooth sensitivity and gingival irritation. However, a significant concern remains regarding the potential damage to pulpal tissues from the heat generated during treatment. This research focuses on both the change in teeth color and the temperature changes in pulpal tissues relative to the power density of the laser diode used. The study involved treating human-extracted teeth coated with 38% hydrogen peroxide using an 808 nm laser diode at power densities of 10.9, 16.1, and 36.7 W/cm². Two exposure methods were examined: a single exposure of 60 seconds and two exposures of 30 seconds each. Teeth color changes were measured using the CIE Lab* system. Results indicated that a higher power density (36.7 W/cm²) produced more luminous teeth but also significantly increased pulpal tissue temperature. A power density of 16.1 W/cm² was identified as the maximum safe limit to avoid damaging pulpal tissue. Additionally, the double-exposure method of 30 seconds each was more effective, yielding more luminous teeth with less heat generation compared to a single 60-second exposure.

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