Endovenous laser ablation of varicose veins : personal perspective and from IEWG

Endovascular treatments are today the most preferred solution receiving patient’s satisfaction. Once found all comfort and security problem solutions and thanks to improved knowledge on the best power wavelengths to be used, the procedure may really be carried out as outpatient treatment with less risks and side effects or complications. Until now energies spent involve an uneasy standardization of the connection of the parameters for the variables thickness (mm) - power (W) - time (msec) - fluency (J/cm2). The last years showed examples of higher dosage, lower but longer exposure /T, but the new laser wavelength like diode 1470 nm and fiber tips designed to fire radially at 360 degrees instead of linearly remarkable effective results and less collateral effects were achieved comparing the results and the effects currently obtained by using higher power and shorter laser wavelengths.