Intraoperative Use of the Laser for Coronary Artery Disease
Not long after the first laser was built from a synthetic ruby crystal in I960 , its use for removal of atherosclerotic plaque was investigated by McGuff et al. . Further advances in the technology of lasers and optical fibers stimulated renewed interest in the application of high-intensity light energy for ablation of arterial plaque. The laser’s potential for precise tissue ablation, controlled energy delivery, and fiberoptic transmission to remote targets afforded unique advantages for both intraoperative and catheter-directed treatment of arterial disease. Clinical trials are currently evaluating the role of lasers for revascularization, whether used separately or in combination with balloon angioplasty or bypass surgery.
KeywordsMigration Catheter Dioxide Welding Argon
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- 1.Maiman TH (I960). Stimulated optical radiation in ruby. Nature 187: 493.Google Scholar
- 3.Livesay JJ, Johansen WE, Sutter LV, Cooley DA, et al. (1983). Can laser endarterectomy extend the limits of coronary revascularization? Lasers Surg Med 3: 173.Google Scholar
- 8.Lee G, Ikeda RM, Kozina J, Mason DT, et al. (1981). Laser dissolution of coronary Atheros-clerotic obstruction. Am Heart J 102:1074– 1075.Google Scholar
- 12.Livesay JJ, Johansen WE (1984). Prevention of arterial wall damage during laser endarterectomy. Proceedings of the ICLAEO ’84. Laser Institute of America.Google Scholar
- 13.Cothren RM, Kittrell C, Hayes GB, Willett RL, et al. (1986). Controlled light delivery for laser angioplasty. IEEE J Quantum Electron QE-22:4–7.Google Scholar
- 16.Goldenberg T, Litvack F, Grundfest W, Forrester J, et al. (1986). Design criteria for in–vivo laser angioplasty. Proceedings of the SPIE 713: 53–57.Google Scholar
- 19.Abela GS, Staples ED, Conti CR, Pepine CJ, et al. (1983). Immediate and long–term effects of laser radiation on the arterial wall: Light and electron microscopic observation. Surg Forum 33: 454–456.Google Scholar
- 24.Livesay JJ, Frazier OH, Cooley DA (1985). Treatment of coronary artery stenosis by laser technique. In Improvement of Myocardial Perfusion — Thrombolysis, Angioplasty, Bypass Surgery. J Meyer, R Erbel, HJ Rupprecht, eds. Boston: Martinus Nijhoff, pp 300–309.Google Scholar
- 26.Livesay JJ, Cooley DA: The role and results of coronary endarterectomy. In: Thoracic and Cardiovascular Surgery, 5th ed, WWL Glenn, A Baue, eds. New York: Appleton-Century-Crofts, 1988.Google Scholar
- 27.Jones EL: Intraoperative angioplasty in the treatment of coronary artery disease. In Improvement of Myocardial Perfusion — Thrombolysis, Angioplasty, Bypass Surgery. J Meyer, R Erbel, HJ Rupprecht, eds. Boston: Martinus Nijhoff, pp 291–299.Google Scholar
- 28.Ginsburg R, Wexler L, Mitchell RS, Profitt D (1984). Percutaneous transluminal laser angio-plasty for the treatment of peripheral vascular disease: Clinical experience in sixteen patients. Radiology 156: 619–624.Google Scholar
- 29.Abela GS, Seeger JM, Barbieri E, Franzini D, et al. (1986). Laser angioplasty with angioscopic guidance in humans. J Am Coll Cardiol 8:184– 192.Google Scholar