Skip to main content

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 103))

  • 93 Accesses

Abstract

Not long after the first laser was built from a synthetic ruby crystal in I960 [1], its use for removal of atherosclerotic plaque was investigated by McGuff et al. [2]. 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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Maiman TH (I960). Stimulated optical radiation in ruby. Nature 187: 493.

    Google Scholar 

  2. McGuff PE, Bushnell D, Soroff HS, Deterling RA (1963). Studies of the surgical applications of laser (light amplification by stimulated emission of radiation). Surg Forum 14: 143–145.

    PubMed  CAS  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 

  4. Livesay JJ, Cooley DA (1984). Laser coronary endarterectomy: Proposed treatment for diffuse coronary atherosclerosis. Tex Heart Inst J 11: 276–279.

    PubMed  CAS  Google Scholar 

  5. Livesay JJ, Cooley DA, Hallman GL, Reul GJ, et al. (1986). Early and late results of coronary endarterectomy: Analysis of 3,369 patients. J Thorac Cardiovasc Surg 92: 649–660.

    PubMed  CAS  Google Scholar 

  6. Abela GS, Normann S, Cohen D, Feldman RL, et al. (1982). Effects of carbon dioxide, Nd- YAG, and argon laser radiation on coronary atheromatous plaques. Am J Cardiol 50:1199– 1205.

    Article  PubMed  CAS  Google Scholar 

  7. Choy DSJ, Stertzer SH, Rotterdam HZ, Bruno MS (1982). Laser coronary angioplasty: Experience with 9 cadaver hearts. Am J Cardiol 50: 1209–1211.

    Article  PubMed  CAS  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 

  9. Macruz R, Martins JRM, Tupinamba A, Lupes EA, et al. (1980). Therapeutic possibilities of laser beams in atheromas. Arq Bras Cardiol 34: 9–12.

    PubMed  CAS  Google Scholar 

  10. Livesay JJ, Johansen WE, Sutter LV, Klima T, et al. (1984). Experimental technique of laser coronary endarterectomy and its immediate effects on atherosclerotic plaques in cadaver hearts. Tex Heart Inst J 11: 280–285.

    PubMed  CAS  Google Scholar 

  11. Welch AJ, Valvano JW, Pearce JA, Hayes LJ, et al. (1985). Effect of laser radiation on tissue during laser angioplasty. Lasers Surg Med 5: 251.

    Article  PubMed  CAS  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 

  14. Deckelbaum LI, Isner JM, Donaldson RF, Luliberte SM, et al. (1986). Use of pulsed energy delivery to minimize tissue injury resulting from carbon dioxide laser irradiation of cardiovascular tissues. J Am Coll Cardiol 7: 898–908.

    Article  PubMed  CAS  Google Scholar 

  15. Grundfest WS, Litvack F, Forrester JS, Goldenberg T, et al. (1985). Laser ablation of human atherosclerotic plaque without adjacent tissue injury. J Am Coll Cardiol 5: 929–933.

    Article  PubMed  CAS  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 

  17. Isner JM, Donaldson RF, Deckelbaum LI, Clarke RH, et al. (1985). The excimer laser: Gross, light microscopic and ultrastructural analysis of potential advantages for use in laser therapy of cardiovascular disease. J Am Coll Cardiol 6: 1102–1109.

    Article  PubMed  CAS  Google Scholar 

  18. Gerrity RG, Loop FD, Golding LAR, Ehrhart LA, et al. (1983). Arterial response to laser operation for removal of atherosclerotic plaques. J Thorac Cardiovasc Surg 85: 409–421.

    PubMed  CAS  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 

  20. Choy DSJ, Stertzer SH, Myler RK, Marco J, et al. (1984). Human coronary laser recanalization. Clin Cardiol 7: 377–381.

    PubMed  CAS  Google Scholar 

  21. Choy DSJ (1986). Laser applications in cardio-vascular disease. Sem Intervent Radiol 3: 1–10.

    Article  Google Scholar 

  22. Livesay JJ, Hogan PJ, McAllister HA (1985). The development of laser angioplasty. Herz 10: 343–350.

    PubMed  CAS  Google Scholar 

  23. Livesay JJ, Leachman DR, Hogan PJ, Cooper JR, et al. (1985). Preliminary report on laser coronary endarterectomy in patients. Circulation 72: 302.

    Article  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 

  25. Cheseboro JH (1984). Effect of dipyridamole and aspirin on late vein-graft patency after coronary bypass operations. N Engl J Med 310: 209–214.

    Article  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 

  30. Livesay JJ (1987). Laser angioplasty: Exploring a new frontier. Tex Heart Inst J 14: 1–3.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Kluwer Academic Publishers

About this chapter

Cite this chapter

Livesay, J.J. (1990). Intraoperative Use of the Laser for Coronary Artery Disease. In: Abela, G.S. (eds) Lasers in Cardiovascular Medicine and Surgery: Fundamentals and Techniques. Developments in Cardiovascular Medicine, vol 103. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1489-9_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-1489-9_19

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8801-5

  • Online ISBN: 978-1-4613-1489-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics