Evaluation, Treatment, and Care of the Laser Angioplasty Patient: A Nursing Perspective
Atherosclerotic plaque is a leading cause of morbidity in the peripheral vasculature. The development of plaque is a result of degenerative changes in the intima of the blood vessel. In the lower extremities, this manifests as claudication, rest pain, or, in the most severe cases, as gangrene. Arterial bypass surgery, balloon angioplasty, and thrombolytic therapy have provided considerable improvements in the management of patients with arterial occlusive disease . However, there are certain disadvantages and limitations to each of these treatment modalities. Laser angioplasty provides an alternative approach to therapy.
KeywordsPeripheral Vascular Disease Balloon Angioplasty Superficial Femoral Artery Rest Pain Posterior Tibial Artery
Unable to display preview. Download preview PDF.
- 2.Abela GS (1987). Laser recanalization: Preliminary clinical experience. Cardiovas Dis Chest Pain 3: 3–8.Google Scholar
- 4.Jablonski S, Abela GS, Seeger JM (1989). Patient selection in the treatment of lower extremity arterial disease using laser angioplasty (abstr). Lasers Surg Med 9: No 6.Google Scholar
- 5.Seeger JM, Abela GS, Klingman N (1987). Laser radiation in the treatment of prosthetic graft stenosis. J Vase Surg 6: 221–225.Google Scholar
- 6.Binnington HB (1984). Segmental limb pressures, doppler wave forms, and stress testing. In Noninvasive Diagnosis of Vascular Disease, FB Hershey, RW Barnes, DS Summer, eds. Pasadena, CA: Appleton Davies, Inc.Google Scholar
- 7.Silverman SH, Khoury AI, Mladinich CJ, Abela GS, Seeger JM (1988). Laser angioplasty with real-time ultrasound. Surg Forum 39:321–323.Google Scholar
- 8.Abela GS, Seeger JM, Pry RS, Akins EW, et al. (1988). Percutaneous laser recanalization of totally occluded human peripheral arteries: A technical approach. Dyn Cardiovasc Imag 1: 302–308.Google Scholar
- 9.Seeger JM, Abela GS, Silverman SH, Jablonski SK (1989). The initial results of laser recanaliza- tion in lower extremity arterial reconstruction. J Vase Surg 9: 10–17.Google Scholar
- 10.Seeger JM, Abela GS (1986). Angioscopy as an adjunct to arterial reconstructive surgery. J Vase Surg 4: 315–320.Google Scholar
- 12.Emergency Care Research Institute (1984). Risk analysis: Laser use and safety. Anesthesiology 12: 1–4.Google Scholar