European Radiology

, Volume 2, Issue 1, pp 52–56 | Cite as

Laser angioplasty of peripheral vessels: complementary procedures

  • W. Horvath
  • M. Oertl
  • C. Luft
  • D. Haidinger
Original articles Interventional radiology
  • 21 Downloads

Abstract

From 1987 to 1991 we treated 167 peripheral arteries in 143 patients by laser-assisted balloon angioplasty using a Neodymium YAG laser. Embolism fo1lowing or accompanying laser angioplasty was treated by aspiration and local lysis with urokinase in 10 cases. To improve long term results balloon dilatation of stenoses of the proximal vessel was performed in 36 cases (5 iliac arteries, 30 femoral arteries, 1 bypass), and of the distal vessel in 31 (16 femoropopliteal arteries, 15 crural arteries). Percutaneous transluminal angioplasty of recurrent stenosis within the recanalised segment was necessary in 11 patients. It was also possible 1o reopen 10 reocclusions, 6 by aspiration and local lysis and 4 by a second laser angioplasty. Both the high technical success rate (90.4%) and the good long term results (cure rate after 3 years 66.8%) are due in part to complementary procedures.

Key words

Laser angioplasty Complications Aspiration Local thrombolysis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Lee G, Ikeda RM, Kozina J, Mason DT (1981) Laser dissolution of coronary atherosclerotic obstruction. Am Heart J 102: 1074–1075Google Scholar
  2. 2.
    Choy DSJ, Sterzer SH, Rotterdam HZ, Sharock N, Kaminow IP (1982) Transfuminal laser catheter angioplasty. Am J Cardiol 50: 1206–1208Google Scholar
  3. 3.
    Geschwind H, Boussignac G, Teisseire B (1984) Percutaneous transluminal laser angioplasty in man. Lancet 1: 844Google Scholar
  4. 4.
    Lammer J, Ascher PW, Choy DSJ (1986) Transfemorale Katheter — Laser — Thrombendarterektomie (TEA) der Arteria carotis. Dtsch Med Wschr 11: 607–610Google Scholar
  5. 5.
    Lee G, Ikeda RM, Chan ML (1984) Dissolution of human atherosclerotic disease by fiberoptic laser-heated metal cautery cap. Am Heart J 107: 777–778Google Scholar
  6. 6.
    Sanborn TA, Haudenschild CC, Faxon DP, Ryan TJ (1985) Experimental angioplasty: circumferential distribution of laser thermal energy with a laser probe. J Am Coll Cardiol 5: 934–938Google Scholar
  7. 7.
    Lammer J, Kleinert R, Pilger E (1989) Contact probes for intravascular recanalization: experimental evaluation. Invest Radiol 24: 190–195Google Scholar
  8. 8.
    Cragg AH, Gardiner GA, Smith TP (1989) Vascular applications of laser. Radiology 172: 925–935Google Scholar
  9. 9.
    Lammer J, Pilger E, Karnel F, Schurawitzki H, Horvath W, Riedl M, Umek H, Klein GE, Schreyer H, Kretschmer G, Haidinger D, Partsch H (1991) Laser angioplasty: results of a prospective, multicenter study at 3-year follow-up. Radiology 178: 335–337Google Scholar
  10. 10.
    Horvath W, Oertl M, Luft Ch, Haidinger D (1991) Die periphere Makroembolie als Komplikation der Laserangioplastie von Extremitätenarterien — Therapie mit radiologisch-interventionellen Maßnahmen. Fortschr Röntgenstr 154: 28–33Google Scholar
  11. 11.
    Darling RC, Linton RR (1972) Durability of femoropopliteal reconstructions. Am J Surg 123: 472–479Google Scholar
  12. 12.
    Müller-Wiefel H (1989) Kniegelenktiberschreitender Bypass mit Kunststoff. Langenb Arch Chir Suppl II: 599–602Google Scholar
  13. 13.
    Johnston KW, Rae M, Hogg-Johnston SA (1987) Five-year results of a prospective study of percutaneous transluminal angioplasty. Ann Surg 206: 403–413Google Scholar
  14. 14.
    Horvath W, Haidinger D, Luft C (1989) Laserangioplastie von Extremitätenarterien-Indikationen, Ergebnisse und ergänzende interventionelle Maßnahmen. Laser in Med and Surg 5: 4–8Google Scholar
  15. 15.
    Horvath W, Oertl M, Haidinger D (1990) Percutaneous transluminal angioplasty of crural arteries. Radiology 177: 565–569Google Scholar
  16. 16.
    Hess H (1985) Thrombolytic therapy and its combination with transluminal catheter dilatation. Wien Klin Wschr 97: 61–64Google Scholar
  17. 17.
    Creutzig A, Luska G, Elgeti H, Alexander K (1983) Perkutane transluminale Angioplastie der unteren Extremitäten im fortgeschrittenen Lebensalter. Dtsch Med Wschr 108: 1543–1546Google Scholar
  18. 18.
    Schwarten DE, Cutcliff WB (1988) Arterial occlusive disease below the knee: treatment with percutaneous transluminal angioplasty performed with low-profile catheters and steerable guide wires. Radiology 169: 71–74Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • W. Horvath
    • 1
  • M. Oertl
    • 1
  • C. Luft
    • 1
  • D. Haidinger
    • 2
  1. 1.Department of RadiologyKrankenhaus der Barmherzigen BrüderLinzAustria
  2. 2.Department of SurgeryKrankenhaus der Barmherzigen BrüderLinzAustria

Personalised recommendations