Combined 595‐nm and 1,064‐nm Laser Irradiation of Recalcitrant and Hypertrophic Port‐Wine Stains in Children and Adults

@article{Alster2009Combined5A,
  title={Combined 595‐nm and 1,064‐nm Laser Irradiation of Recalcitrant and Hypertrophic Port‐Wine Stains in Children and Adults},
  author={Tina S. Alster and Elizabeth L. Tanzi},
  journal={Dermatologic Surgery},
  year={2009},
  volume={35},
  pages={914–919}
}
PURPOSE Although pulsed dye laser (PDL) treatment of port‐wine stain (PWS) has long been proven safe and effective, incomplete clearance of these vascular malformations can be problematic. In addition, advanced PWS with deeper coloration and tissue hypertrophy can be particularly difficult to treat because of the superficial dermal penetration of 585‐ to 595‐nm light. The purpose of this study was to evaluate the safety and efficacy of a novel device that delivers sequential pulses of 595‐ and… 
View on Wolters Kluwer
skinlaser.com
76 Citations
Highly Influential Citations
1
Background Citations
21
Methods Citations
6

76 Citations

Citation Type

Citation Type

Treatment of recalcitrant port‐wine stains (PWS) using a combined pulsed dye laser (PDL) and radiofrequency (RF) energy device
Assessment of Efficacy of the 595-nm Pulsed Dye Laser in the Treatment of Facial Port-Wine Stains in Indian Patients
  • S. Khandpur, Vinod K. Sharma
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2016
TLDR
The 595-nm tunable PDL produced moderate response with no significant side effects in Indian patients, and was well-received by patients and subjectively assessed subjectively on a scale of −1 to 5.
Alexandrite Laser for the Treatment of Port Wine Stains Refractory to Pulsed Dye Laser
TLDR
In this pilot study, PDL‐resistant PWS responded significantly to a series of MSPAL treatments, and treatment with conservative parameters and close observation of tissue response are essential.
Effectiveness of Dual Sequential Wavelength Laser in the Treatment of Portwine Stains – A Retrospective Study
TLDR
Dual Sequential Wavelength Laser is a good modality of treatment for portwine stains it has enhanced penetration and effective clearance of thicker, nodular, recalcitrant lesions of PWS and it can be recommended as a therapeutic modality for port wine stains.
An overview of clinical and experimental treatment modalities for port wine stains.
Treatment of port wine stain with Tixel‐induced rapamycin delivery following pulsed dye laser application
TLDR
The use of drug delivery system combined with topical rapamycin has no remarkable adverse effects, improves the results of PDL treatment for port wine stains, and can reduce the total number of required PDL sessions.
Commentary on Efficacy and Safety of the 532-nm KTP and Long-Pulsed 1,064-nm Nd: YAG Laser for Treatment of Vascular Malformations.
  • G. Goldberg
  • Medicine, Biology
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2020
TLDR
Although almost half of the lesions were venous lakes, which typically are of very little therapeutic challenge a number of other more challenging, deeper mixed capillary-venous and venous vascular malformations were effectively and safely treated with the 532-nm KTP/1,064-nm Nd:YAG laser combination therapy.
Efficacy and Safety of the 532-nm KTP and Long-Pulsed 1064-nm Neodymium-doped Yttrium Aluminum Garnet Laser for Treatment of Vascular Malformations.
  • D. Eichenfield, A. Ortiz
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2020
TLDR
This study illustrates that 2 wavelengths, 532-nm KTP to target superficial components and LP 1064-nm Nd:YAG for deeper components, can safely and effectively treat both capillary venous and venous malformations.
Treatment Using a Long Pulsed Nd:Yag Laser with a Pulsed Dye Laser for Four Cases of Blebbed Port Wine Stains
TLDR
A 1,064 nm long pulsed Nd:YAG laser with contact cooling may be considered as a promising therapeutic option for treatment of blebbed PWS.
Pulsed dye laser‐resistant port‐wine stains: mechanisms of resistance and implications for treatment
TLDR
This review will address what is currently known about lesion‐specific characteristics of PDL‐resistant PWS as well as discuss current and future treatment options.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 25 REFERENCES
Evaluating the Efficacy of Treatment of Resistant Port‐Wine Stains With Variable‐Pulse 595‐nm Pulsed Dye and 532‐nm Nd:YAG Lasers
TLDR
In individual patients, it may be effective to treat resistant PWS with the variable-pulse width 595-nm PDL and the 532-nm Nd:YAG laser.
Outcomes of 532 nm Frequency‐Doubled Nd: YAG Laser Use in the Treatment of Port‐Wine Stains
TLDR
The results obtained asserted that the frequency-doubled Nd:YAG laser is a quick, safe, and effective treatment modality for PWS malformations and can be appreciated as a useful alternative therapy that can raise the rates of success in cases with PWSs refractory to other laser therapies.
Effect of Dynamic Cooling on 585‐nm Pulsed Dye Laser Treatment of Port–Wine Stain Birthmarks
TLDR
It is suggested that dynamic cooling can dramatically diminish pain during PWS treatment with the 585‐nm PDL without reducing treatment efficacy, and precooling with the DCD may allow the use of higher laser fluences to expedite clearance without inducing epidermal change.
Treatment of pulsed dye laser-resistant port wine stain birthmarks.
Cryogen spray cooling and higher fluence pulsed dye laser treatment improve port-wine stain clearance while minimizing epidermal damage.
  • C. Chang, J. Nelson
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1999
TLDR
CSC permitted the use of higher incident light dosages leading to improved PWS clearance without producing complications such as permanent scarring or dyspigmentation, as compared to the NC-LT group.
Long-pulsed neodymium:yttrium-aluminum-garnet laser treatment for port-wine stains.
Description and analysis of treatments for port-wine stain birthmarks.
TLDR
Alternative or adjunct treatment options that address limitations should be explored, including noninvasive real-time imaging to optimize the selection of treatment settings, photodynamic therapy, and perioperative use of antiangiogenic compounds.
Treatment of resistant port wine stains with the V Beam® pulsed dye laser
TLDR
The effects of a long pulse‐duration 595 nm PDL (V Beam®, Candela Laser Corporation, Wayland, MA) on previously treated PWS to ascertain whether further lightening can be obtained.
Algorithm for Using a Long‐Pulsed Nd: YAG Laser in the Treatment of Deep Cutaneous Vascular Lesions
  • D. Groot, J. Rao, P. Johnston
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2003
TLDR
Previously challenging deep cutaneous vascular anomalies may be safely reduced or cleared with the use of an appropriate laser system and this algorithm-directed technique, which represents a significant breakthrough in the management of vascular lesions.
Treatment of Port-Wine Stains with the Flashlamp-pumped Pulsed Dye Laser: Extended Clinical Experience in Children and Adults
TLDR
While the 585 nm pulsed dye laser continues to be the treatment of choice for removal of PWS in children and adults, the number of treatments necessary to obtain lesional clearing in all age groups is greater than previously reported.
...
1
2
3
...