asurgeryАмбулаторная хирургияAmbulatornaya khirurgiya = Ambulatory Surgery (Russia)2712-87412782-2591ООО «ГРУППА РЕМЕДИУМ»10.21518/1995-1477-2019-1-2-59-63asurgery-138Research ArticleЭСТЕТИЧЕСКАЯ ФЛЕБОЛОГИЯAESTHETIC PHLEBOLOGYCLaCS – криолазеркриосклеротерапия: применение трансдермального лазера в сочетании со склеротерапией для лечения ретикулярного варикозаCLaCS – Cryo-Laser and Cryo-Sclerotherapy: the use of a transdermal laser in combination with sclerotherapy for the treatment of reticular varicosityПариковМ. А.ParikovM. A.

Париков Матвей Александрович – хирург-флеболог, руководитель Инновационного Сосудистого Центр.

198095, Санкт-Петербург, ул. Балтийская, д. 3; тел.:+7 (812) 649-05-73.

Parikov Matvey Aleksandrovich – phlebologist-surgeon, Head of the Innovative Vascular Center.

198095, Saint-Petersburg, 3, Baltiyskaya St.; tel.: +7 (812) 649-05-73.

parikow@mail.ruИнновационный Сосудистый ЦентрРоссияInnovative Vascular CenterRussian Federation20191204201901-25963Copyright © Париков М.А., 20192019Париков М.А.Parikov M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.a-surgeon.ru/jour/article/view/138

Представлен один из вариантов CLaCS терапии – метода лечения ретикулярного варикоза,  основанного на комбинированном применении инъекционной  склеротерапии  и трансдермального  неодимового лазера  в сочетании с охлаждением  кожи. Данный вариант CLaCS наиболее понятен, логичен и прост в освоении и исполнении.

One of the  variants  of CLaCS  therapy  is presented - the  method  of treatment of reticular  varicosity  based  on the  combined application of injectable sclerotherapy and transdermal neodymium laser in combination  with skin cooling. This CLaCS variant is the most understandable, logical and easy to use.

ретикулярный варикозтелеангиоэктазиясклеротерапияCLaCS терапияклинический примерreticular varicositytelangiectasiasclerotherapyCLaCS therapyclinical exampleReferencesMann M.W. Sclerotherapy: it is back and better. Clin Plast Surg. 2011;38:475–487.Mann M.W. Sclerotherapy: it is back and better. Clin Plast Surg. 2011;38:475–487.Coleridge Smith P. Sclerotherapy and foam sclerotherapy for varicose veins. Phlebology. 2009;24:260–269.Coleridge Smith P. Sclerotherapy and foam sclerotherapy for varicose veins. Phlebology. 2009;24:260–269.Rabe E., Schliephake D., Otto J. et al. Sclerotherapy of telangiectases and reticular veins: a double-blind randomized, comparative clinical trial of polidocanol, sodium tetradecyl sulphate and isotonic saline (EASI study). Phlebology. 2010;25:124–131.Rabe E., Schliephake D., Otto J. et al. Sclerotherapy of telangiectases and reticular veins: a double-blind randomized, comparative clinical trial of polidocanol, sodium tetradecyl sulphate and isotonic saline (EASI study). Phlebology. 2010;25:124–131.Alos J., Carreno P., Lopez J.A. et al. Efficacy and safety of sclerotherapy using polidocanol foam: a controlled clinical trial. Eur J Vasc Endovasc Surg. 2006;31:101–107.Alos J., Carreno P., Lopez J.A. et al. Efficacy and safety of sclerotherapy using polidocanol foam: a controlled clinical trial. Eur J Vasc Endovasc Surg. 2006;31:101–107.Trelles M.A., Allones I.A., lvarez X., Velez M., Buill C., Luna R., Trelles O. Long-pulsed Nd:YAG 1064 nm in the treatment of leg veins: Check up of results at 6 months in 100 patients. Med Laser Appl. 2005;20:255–266.Trelles M.A., Allones I.A., lvarez X., Velez M., Buill C., Luna R., Trelles O. Long-pulsed Nd:YAG 1064 nm in the treatment of leg veins: Check up of results at 6 months in 100 patients. Med Laser Appl. 2005;20:255–266.Lupton J.R., Alster T.S., Romero P. Clinical Comparison of Sclerotherapy Versus Long-Pulsed Nd:YAG Laser Treatment for Lower Extremity Telangiectases. Dermatologic Surgery. 2002;28(8):694–697.Lupton J.R., Alster T.S., Romero P. Clinical Comparison of Sclerotherapy Versus Long-Pulsed Nd:YAG Laser Treatment for Lower Extremity Telangiectases. Dermatologic Surgery. 2002;28(8):694–697.Goldman M., Weiss R., Guex J.-J., Partsch H., Perrin M., Ramelet A.-A., Ricci S., Maleti O., Lugli M. Sclerotherapy. Treatment of Varicose and Telangiectatic Leg Veins (6th edition). Elsevier. 2017. ISBN 978-0-323-37726-3.Goldman M., Weiss R., Guex J.-J., Partsch H., Perrin M., Ramelet A.-A., Ricci S., Maleti O., Lugli M. Sclerotherapy. Treatment of Varicose and Telangiectatic Leg Veins (6th edition). Elsevier. 2017. ISBN 978-0-323-37726-3.Moreno-Moraga J., Smarandache A., Pascu M.L., Royo J., Trelles M.A. 1064 nm Nd:YAG long pulse laser after polidocanol microfoam injection dramatically improves the result of leg vein treatment: A randomized controlled trial on 517 legs with a three-year follow-up. Phlebology: The Journal of Venous Disease. 2014;29(10):658–666.Moreno-Moraga J., Smarandache A., Pascu M.L., Royo J., Trelles M.A. 1064 nm Nd:YAG long pulse laser after polidocanol microfoam injection dramatically improves the result of leg vein treatment: A randomized controlled trial on 517 legs with a three-year follow-up. Phlebology: The Journal of Venous Disease. 2014;29(10):658–666.Levy J.L., Elbahr C., Jouve E., Mordon S. Comparison and sequential study of long pulsed Nd:YAG 1,064 nm laser and sclerotherapy in leg telangiectasias treatment. Lasers in Surgery and Medicine. 2004;34(3):273–276.Levy J.L., Elbahr C., Jouve E., Mordon S. Comparison and sequential study of long pulsed Nd:YAG 1,064 nm laser and sclerotherapy in leg telangiectasias treatment. Lasers in Surgery and Medicine. 2004;34(3):273–276.

The authors declare that there are no conflicts of interest present.