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Introduction of a 21-gauge plastic venous catheter and subsequently of the fiber optic laser through an incision in the skin.
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Next, the stylet was withdrawn and the fiber optic laser was introduced into the lumen and advanced forward with its tip continuously emitting 150 J/cm to perforate the fibrous tissue and create a channel during advancement along the entire length of her arm (Figure 2).
Two-cm reduction in right arm circumference after first treatment with Nd:YAG 1062 nm (15 W) endovenous laser.. Note: "Diameter" refers to right arm circumference diameter.
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Table 1). The procedure was repeated 2 weeks later in previously untreated regions of her right arm using the same protocol to achieve further volume reduction (Figure 3) and thereby improve her arm function.