An evaluation of post-sclerotherapy laser compression and its efficacy in the treatment of leg telangiectasias

Objective: The use of graduated compression stockings is presently indicated in both surgical and non-surgical treatment of varicose veins. The role that it plays in therapeutic efficacy or the complication profile is yet to be determined. The present study examined the role of compression in the treatment of class I-II venulectasia, utilizing the Pulsed Dye Laser. Methods: Thirteen patients with leg vein size 0.5-1.0 mm in diameter were treated with the Long-Pulse Tuneable Dye Laser (Vbeam (R)). A surface area of 5 cm(2) of vessels on bilaterally symmetric thighs was treated. Class II compression hose was applied immediately following treatment to the left thigh only and were left on during waking hours for a period of 7 days. Post-sclerotherapy results and complication profiles were analysed and graded after one treatment session by two independent blinded observers. Results: There was no significant difference in treatment-clearing parameters or side-effect profiles in the compressed versus non-compressed or control groups (P <= 0.05). Conclusion: Preliminary studies suggest that compression does not alter the therapeutic efficacy or complication profile of Pulsed Dye Laser treatment of class I-II venulectasia. Further studies on a larger patient population are in progress.