Comprehensive Analysis of Different Laser Devices Treating Lower Extremity Varicose Veins at the Same Power and LEED Value

Objective: To compare the clinical efficacy and complication rate of Biolitec laser and Halo laser for the treatment of lower extremity great saphenous vein (GSV) and small saphenous vein (SSV) under the same LEED value. Methods: A total of 70 cases of GSV and 30 cases of SSV treated with laser in our hospital from May 2022 to May 2023 were selected and treated with Biolitec and Halo laser equipment, respectively. The working mode was continuous mode. The patients were divided into the Biolitec group (35 patients with GSV and 15 patients with SSV) and the Halo group (35 patients with GSV and 15 patients with SSV) according to different laser equipment. The days of returning to normal activity, closure rate, and changes in venous clinical severity score (VCSS) were evaluated. Safety endpoints were deep vein thrombosis (DVT), heat-induced thrombosis (EHIT), surgical site ecchymosis, postoperative paresthesia (numbness), postoperative edema, burns, superficial phlebitis, and other adverse events. Results: There were no significant differences in the days of postoperative recovery, the closure rate of varicose veins, the change of VCSS, and the incidence of postoperative complications between the two groups. Conclusions: The Biolitec and the Halo laser have the same efficacy and safety in treating the GSV and SSV under the same power and LEED.