title: [Therapeutic indications for percutaneous laser in patients with vascular malformations and tumors].
abstract: Lasers are increasingly used to treat vascular abnormalities. Indeed, this technique is non-invasive and allows a specific treatment. The aim of this review is to present some biophysical principles of the lasers, to describe the different sorts of lasers available for treatment in vascular medicine indications. Three principal lasers exist in vascular medicine: the pulsed-dye laser, for the treatment of superficial pink lesions, the NdYAG-KTP laser for purple and bigger lesions, and the NdYAG long pulse laser for even deeper and bigger vascular lesions. In vascular malformations, port wine stains can also be treated by pulsed-dye laser, KTP or NdYAG when they are old and thick. Telangiectasias are good indications for the three sorts of lasers, depending on their depth, color and size. Microcystic lymphatic malformations can be improved by laser treatment. Arterio-venous malformations constitute a contraindication of laser treatment. In vascular tumors, involuted infantile hemangiomas constitute an excellent indication of pulsed-dye laser treatment. Controlled studies are necessary to evaluate and to compare the efficacy of each laser, in order to determine their optimal indications and optimal parameters for each machine.
authors.affiliation: Centre d'investigation clinique, service de médecine interne et vasculaire, hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France; Service de dermatologie, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors.forename: D
authors.initials: D
authors.lastname: Labau
authors.affiliation: Cabinet de laser médical, 45000 Orléans, France.
authors.forename: P
authors.initials: P
authors.lastname: Cadic
authors.affiliation: Cabinet de médecine vasculaire, 91310 Montlhéry, France.
authors.forename: G
authors.initials: G
authors.lastname: Ouroussoff
authors.affiliation: Consultation de dermatologie, clinique du Parc, 34170 Castelnau-Le-Lez, France.
authors.forename: C
authors.initials: C
authors.lastname: Ligeron
authors.affiliation: Centre d'investigation clinique, service de médecine interne et vasculaire, hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Laroche
authors.affiliation: Service de dermatologie, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors.forename: B
authors.initials: B
authors.lastname: Guillot
authors.affiliation: Service de dermatologie, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors.forename: O
authors.initials: O
authors.lastname: Dereure
authors.affiliation: Centre d'investigation clinique, service de médecine interne et vasculaire, hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors.forename: I
authors.initials: I
authors.lastname: Quéré
authors.affiliation: Centre d'investigation clinique, service de médecine interne et vasculaire, hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France. Electronic address: jp-galanaud@chu-montpellier.fr.
authors.forename: J-P
authors.initials: JP
authors.lastname: Galanaud
mesh_terms: D001165:Arteriovenous Malformations / Q000601:surgery; D006391:Hemangioma / Q000601:surgery; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation / Q000379:methods; D054025:Lasers, Dye; D044148:Lymphatic Abnormalities / Q000601:surgery; D019339:Port-Wine Stain / Q000601:surgery; D013684:Telangiectasis / Q000601:surgery; D054079:Vascular Malformations / Q000601:surgery*; D019043:Vascular Neoplasms / Q000601:surgery*
keywords: Laser NdYAG à impulsions longues; Laser NdYAG-KTP; Laser à colorant pulsé (LCP); Malformations vasculaires; NdYAG long pulse laser; NdYAG-KTP laser; Pulsed-dye laser; Tumeurs vasculaires; Vascular malformations; Vascular tumors