Abstract
Laser angioplasty is the reopening of a blocked or narrowed vessel by the intraluminal application of laser energy.
Narrowing or blockage of arteries by atherosclerosis is the commonest cause of death in Europe and the United States. It is responsible for angina and myocardial infarction, cerebro-vascular disease and peripheral vascular disease and it is thus the cause of considerable morbidity as well as mortality. Until recently symptoms due to an occluded or stenosed artery could only be relieved by surgery to remove or bypass the occlusion.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Abela, G.S., Crea, F., Seeger, J.M., Franzini, D., Fenech, A., Normann, S.J., Feldman, R.L., Pepine, C.J. and Conti, C.R., 1985, The healing process in normal canine arteries and in atherosclerotic monkey arteries after transluminal laser irradiation, Am J Cardiol 56: 983.
Anderson, H.V., Zaatari, G.S., Roubin, G.S., Leimgruber, P.P. and Gruentzig, A.R., 1986, Steerable fibreoptic catheter delivery of laser energy in atherosclerotic rabbits, Am Heart J 111: 1065.
Boulnois, J-L., 1986, Photophysical processes in recent medical laser developments: a review, Lasers Med Sci 1: 47.
Bowker, T.J., Cross, F.W., Rumsby, P.T., Gower, M.C., Poole-Wilson, P.A., Fox, K.M. and Bown, S.G., 1986, Excimer laser angioplasty: quantitative comparison in vitro of three ultraviolet wavelengths on tissue ablation and haemolysis, Lasers Med Sci 1: 91.
Choy, D.S.J., 1979, US Patent 4 207 874.
Cross, F.W., Bowker, T.J., Marston, A., Adiseshiah, M. and Bown, S.G., 1986, Artificial circulation assessment of sapphire fibretips for use in laser angioplasty, Vascular Surgical Society, Nov. 1986, Br J Surg, 74: 329.
Cross, F.W., Mills, T.N. and Bown, S.G., 1987a, Pulsed Neodymium-YAG laser effects on normal and atheromatous aorta in vitro, Lasers in the Life Sciences 1: 193.
Cross, F.W., Wright, J.K., Bowker, T.J. and Bown, S.G., 1987b, The role of pulse length in limiting distant damage to vascular tissue caused by the Nd- YAG laser, Lasers Med Sci., In press.
Cumberland, D.C., Tayler, D.I. and Procter, A.E., 1986a, Laser-assisted percutaneous angioplasty: initial clinical experience in peripheral arteries, Clin Radiol 37: 423.
Cumberland, D. C., Starkey, I.R., Oakley, G.D., Fleming, J.S., Smith, G.H., Goiti, J.J., Tayler, D.I. and Davis, J., 1986b, Percutaneous laser- assisted coronary angioplasty, Lancet 2: 214.
Deckelbaum, L. I., Isner, J. M., Donaldson, R. F., Clarke, R. H., Laliberte, S. M., Ahron, A. S. and Bernstein, J. S., 1985, Reduction of laser induced pathologic tissue injury using pulsed energy delivery, Am J Cardiol 56: 662.
Dotter, C.T. and Judkins, M.P., 1964, Transluminal treatment of arteriosclerotic obstruction. Description of a new technique and a preliminary report of its application, Circulation 30: 654.
Douville, E. C., Kempczinski, R. F., Doerger, P. T., van der Bel-Kahn, J., Sankar, M.Y. and Joffe, S. N., 1987, Effects of Nd-YAG laser energy on the arterial wall: evaluation of a new contact delivery system, J Surg Res 42: 185.
Eldar, M., Battler, A., Gal, D., Rath, S., Rotstein, Z., Neufeld, H. N., Akselrod, S., Katzir, A., Gaton, E. and Wolman, M.,1986, The effects of varying lengths and powers of C02 laser pulses transmitted through an optical fiber on atherosclerotic plaques, Clin Cardiol 9: 89.
Garrison, B. J. and Srinivasan, R., 1985, Laser ablation of organic polymers: microscopic models for photochemical and thermal processes, J Appl Phys 57: 2909.
Geschwind, H.J., Boussignac, G., Teisseire, B., Benhaiem, N., Bittoun, R. and Laurent, D., 1984, Conditions for effective Nd-YAG laser angioplasty, Br Heart J 52: 484.
Ginsburg, R., Wexler, L., Mitchell, R.S. and Profitt D, 1985, Percutaneous transluminal laser angioplasty for treatment of peripheral vascular disease., Radiology 156: 619.
Grütintzig, A. R. and Hopff, H., 1974, Perkutane Rekanalisation chronischer arterieller Verschlusse mit einem neuen Dilationskatheter. Modifikation der Dotter-Technik., Dtsch Med Wochenschr 99:2502.
Isner, J. M., Clarke, R. H., Donaldson, R. F. and Aharon, A., 1985, Identification of photoproducts liberated by in vitro argon laser irradiation of atherosclerotic plaque, calcified cardiac valves and myocardium, Amer J Cardiol 55: 1192.
Kramer, J. R., Bott-Silverman, C., Ratliff, N. B., Strikwerda, S., Loop, F. D., Shearin, A., Cothren, R. M., Kittrell, C. and Feld, M. S., 1987, Removal of atherosclerotic plaque using multiple short exposures of argon ion laser light, Am Heart J. 113:1038.
Lee, G., Ikeda, RM., Stobbe, D., Ogata, C., Theis, J. H., Hussein, H. and Mason, D. T., 1983, Laser irradiation of human atherosclerotic obstructive disease: simultaneous visualization and vaporization achieved by dual fiberoptic catheter, Am Heart J., 105:1630.
Lee, G., Ikeda, RM., Theis, J. H., Chan, M. C., Stobbe, D., Ogata, C., Kumagai, A. and Mason, D. T., 1984a, Acute and chronic complications of laser angioplasty: vascular wall damage and formation of aneurysms in the atherosclerotic rabbit, Amer J Cardiol 53: 290.
Lee, G., Seckinger, D., Chan, M.C., Embi, A., Stobbe, D., Thomson, R. V., Sanchez, N. A., Ikeda, R. M., Reis, R. M. and Mason, D. T., 1984b, Potential complications of coronary laser angioplasty., Amer Heart J 108: 1577.
McGuff, P.E., Bushnell, D., Soroff, H.S. and Deterling, R.A.,1963, Studies of the surgical applications of laser (Light Amplification by Stimulated Emission of Radiation), Surg Forum 14: 143.
Murphy-Chutorian, D., Kosek, J., Mok, W., Quay, S., Huestis, W., Mehigan, J., Profitt, D. and Ginsburg, R., 1985, Selective absorption of ultraviolet laser energy by human atherosclerotic plaque treated with tetracycline, Amer J Cardiol 55: 1293.
Murray, R.R., Hewes, R.C., White, R.I., Mitchell, S.E., Auster, M., Chang, R., Kadir, S., Kinnison, M.L. and Kaufman, S.L., 1987, Long-segment femoro- popliteal stenoses: is angioplasty a boon or a bust, Radiology., 162:473.
Parrish, J.A. and Deutsch, T.F., 1984, Laser photomedicine, IEEE J Quantum Electron QE20:1386.
Prince, M.R., Deutsch, T.F., Mathews-Roth, M.M., Margolis, R., Parrish, J.A. and Oseroff, A.R., 1986, Preferential light absorption in atheromas in vitro. Implications for laser angioplasty, J Clin Invest 78: 295.
Sanborn, T.A., Faxon, D.P., Haudenschild, C.C. and Ryan, T.J., 1985, Experimental angioplasty: circumferential distribution of laser thermal energy with a laser probe, J Am Coll Cardiol 5: 934.
Selzer, P.M., Murphy-Chutorian, D., Ginsburg, R. and Wexler, L., 1985, Optimizing strategies for laser angioplasty, Invest Radiol 20: 860.
Spears, J.R., Serur, J., Shropshire, D. and Paulin, S., 1983, Fluorescence of experimental atheromatous plaques with haematoporphyrin derivative, J Clin Invest 71: 395.
Reichel, E., Schmidt-Kloiber, H., Schoffmann, H., Dohr, G. and Eherer, A., 1987, Interaction of short laser pulses with biological structures, Opt and Laser Technol., 19:40.
Russo, V., Righini, G.C., Sottini, S. and Trigari, S., 1984, Lens-ended fibers for medical applications: a new fabrication technique, Appl Opt., 23:3277.
van Gemert, M.J.C., Schets, G.A.C.M., Stassen, E.G. and Bonnier, J.J., 1985, Modeling of (Coronary) laser-angioplasty, Lasers Surg Med 5: 219.
Verdaasdonk, R.M., Borst, C., Boulanger, L.H.M.A. and van Gemert, M.J.C., 1987a, Laser angioplasty with a metal laser probe (“hot tip”): probe temperature in blood, Lasers Med Sci. In press.
Verdaasdonk, R.M., Cross, F.W. and Borst, C., 1987b, Physical properties of sapphire fibretips for laser angioplasty, Lasers Med Sci. In press.
White, C., Ramee, S., Aita, M., Abrahams, L., Card, H., Aiwa, G., Samson, G., Wade, C. and Virmani, R., 1986, Enhanced efficacy and safety of silica ball tip laser fibers for in-vivo laser angioplasty (abstr). Lasers Med Sci., 1:313.
Wolbarsht, M.L., 1984, Laser surgery:CO or HF, IEEE J Quantum Electron QE20:1427.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Plenum Press, New York
About this chapter
Cite this chapter
Michaels, J.A., Cross, F.W., Bowker, T.J., Bown, S.G. (1988). The Current Status of Laser Angioplasty. In: Douglas, R.H., Moan, J., Dall’Acqua, F. (eds) Light in Biology and Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0709-9_26
Download citation
DOI: https://doi.org/10.1007/978-1-4613-0709-9_26
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-8043-9
Online ISBN: 978-1-4613-0709-9
eBook Packages: Springer Book Archive