Combination of transdermal laser and sclerotherapy in treating reticular veins: an evidence-based approach to modern phlebology
Anelise Rodrigues, MD Clinica Dra Anelise Rodrigues, Cuiaba, MT, Brazil ABSTRACT Chronic venous disease is a widespread condition, with telangiectasias and reticular veins (C1 disease according to the CEAP classification) among its most frequent and cosmetically concerning early manifestations. Whereas sclerotherapy remains the gold standard for their treatment, newer approaches have emerged aiming to optimize results and reduce complications. Among them, the combination of transdermal long-pulsed 1064-nm Nd:YAG laser with sclerotherapy has gained growing attention, particularly in the form of the cryo-laser cryo-sclerotherapy (CLaCS) technique, which merges laser-induced vessel damage with sclerotherapy, enhanced by cryo-cooling and augmented reality guidance. Additionally,…