Skip to main content
SpringerLink
Log in

Laser Angioplasty: State of the Art

  • Chapter
Optronic Techniques in Diagnostic and Therapeutic Medicine

  • 110 Accesses

Abstract

Since the development of balloon angioplasty, interventional cardiovascular medicine has been increasingly used for recanalization of obstructed coronary and peripheral arteries. Balloon angioplasty relieves arterial stenosis by inflating a balloon into the obstruction.1 It acts by disrupting the atheromatous plaque, fissuring the intima and stretching the media.2 This controlled injury heals by retraction of the plaque, fibrosis of the media and neo-intimal formation.3

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

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight 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. A.R. Gruntzig, A. Senning, W. Siegenthaler, Non-operative dilatation of coronary artery stenosis: percutaneous transluminal coronary angioplasty, N.Engl.J.Med. 301:61 (1979).

    Article  Google Scholar 

  2. P.C. Bloch, Mechanism of transluminal angioplasty, Am.J.Cardiol. 53:69C (1984).

    Google Scholar 

  3. A. Cragg, W.R. Castaneda-Zuniga, K. Amplatz, Pathophysiology of transluminal angioplasty, Sem.Interv.Radiol. 1:241 (1984).

    Article  Google Scholar 

  4. D.R. Holmes, R.E. Vliestra, H.C. Smith et al., Restenosis after percutaneous transluminal coronary angioplasty (PTCA). A report from the National Heart, Lung and Blood Institute Registry, Am.J.Cardiol. 53:77C (1986).

    Google Scholar 

  5. G. Lee, R. Ikeda, J. Kozina, D. Mason, Laser dissolution of coronary atherosclerotic obstruction, Am.Heart J., 102:1074 (1981).

    Article  Google Scholar 

  6. G.S. Abela, S. Normann, D. Cohen, R. Feldamn, E. Geiser, R. Conti, Effects of carbon dioxide, Nd:YAG and argon laser radiation on coronary atheromatous plaques, Am.J.Cardiol. 50:1199 (1982).

    Article  Google Scholar 

  7. D.S.J. Choy, S. Stertzer, H. Rotterdam, N. Sharrock., M. Bruno, Laser coronary angioplasty: experience with 9 cadaver hearts, Am.J.Cardiol. 50:1209 (1982).

    Article  Google Scholar 

  8. F. Crea, A. Fenech, W. Smith, R. Conti, G.S. Abela, Laser recanalization of acutely thrombosed coronary arteries in live dogs early results, J.Am.Coll.Cardiol. 6:1052 (1985).

    Article  Google Scholar 

  9. F. Crea, G.S.S. Abela, A. Fenech, W. Smith, C.J. Pepine, R. Conti, Transluminal laser irradiation of coronary arteries in live dogs: an angiographic and morphologic study of acute effect, Am.J.Cardiol. 57:171 (1986).

    Article  Google Scholar 

  10. J.M. Isner, R.F. Donaldson, J.T. Funta, et al., Factors contributing to perforations resulting from laser coronary angioplasty: observation in an intact human post-mortem preparation of intra-operative laser coronary angioplasty. Circulation, 72 (suppl. II): 191 (1985).

    Google Scholar 

  11. Geschwind H.J., Boussignac G., Vieilledent C., Teisseire B., Removal of atheromatous plaques with Nd:YAG laser, J.Am.Coll.Cardiol. 5(2):545 (1985).

    Google Scholar 

  12. H.J. Geschwind, A.M. Aita, S. Ramee, et al., Lensed fibers for laser assisted balloon angioplasty, J.Am.Coll.Cardiol. 9(2):177A (1987).

    Google Scholar 

  13. H.J. Geschwind, J.D. Blair, D. Mongkolsmai, Development and experimental application of contact probe catheter for laser angioplasty, J Am.Coll. Cardiol. 9:101 (1987).

    Article  Google Scholar 

  14. S.N. Joffe, Contact neodymium:YAG laser surgery in gastroenterology: a preliminary report, Lasers Surg.Med. 6:155 (1986).

    Article  Google Scholar 

  15. G. Lee, R.M. Ikeda, D. Stobbe, C. Ogata, A. Embi, M.C. Chan, R.L. Reis, D.T. Mason, Intraoperative use of dual fiber optic catheter for simultaneous in vivo visualization and laser vaporization of peripheral atherosclerotic obstructive disease, Cathet.Cardiovasc.Diagn. 10:11 (1984).

    Article  Google Scholar 

  16. G.S. Abela, S.J. Normann, D.L. Cohen, et al., Laser recanalization of occluded atherosclerotic artery in vivo and in vitro, Circulation 71:403 (1985).

    Article  Google Scholar 

  17. G.S. Abela, J.M. Jeeger, E. Barbieri, D. Franzini, A. Fenech, C.J. Pepine, R. Conti, Laser angioplasty with angioscopic guidance in humans, J.Am.Coll.Cardiol. 8:184 (1986).

    Article  Google Scholar 

  18. C.T. Sherman, F. Litvack, W. Grundfest, et al., Coronary angioscopy in patients with instable angina pectoris, N.Engl.J.Med. 315:913 (1986).

    Article  Google Scholar 

  19. H.J. Geschwind, M. Fabre, B.R. Chaitman, et al., Histopathology after Nd:YAG laser percutaneous transluminal angioplasty of peripheral arteries, J.Am.Coll.Cardiol 8:1089 (1986).

    Article  Google Scholar 

  20. H.J. Geschwind, G. Williams, A. Labovitz, M.J. Kern, J. Stern, M. Vandermael, H.L. Kennedy, High frequency ultrasound guidance of laser angioplasty, Circulation 74(suppl. II):468 (1986).

    Google Scholar 

  21. M.B. Leon, L.J. Prevosti, P.D. Smith, J.A. Swain, C.L. Mcintosh, H.J. Geschwind, W. Mok, D. Murphy-Chutorian, R.F. Bonnet, In vivo laser induced fluorescence plaque detection: preliminary results in patients, Circulation 76(suppl. IV): 408 (1987).

    Google Scholar 

  22. H.J. Geschwind, J.L. Dubois-Rande, B.R. Bonner, et al., Percutaneous pulsed laser angioplasty with atheroma detection in humans, J. Am. Coll.Cardiol. (in press) 1988.

    Google Scholar 

  23. J.M. Isner, R.H. Clark, R.F. Donaldson, A.S. Sharon, Identification of photo products liberated by in vitro argon irradiation of atherosclerotic plaque, calcified cardiac valves and myocardium, Am.J.Cardiol. 55:1192 (1985).

    Article  Google Scholar 

  24. C. Vieilledent, H.J. Geschwind, G. Boussignac, B. Gaujour, B. Teisseire, Debris after laser arterial recanalization, Laser Med.Surg. 6:31 (1986).

    Google Scholar 

  25. L.G. Prevosti, J.A. Cook, M.B. Leon, R.F. Bonner, Comparison of particulate debris size from excimer and argon laser ablation, Circulation 76(suppl. IV):410 (1987).

    Google Scholar 

  26. P. Selzer, D. Murphy-Chutorian, R. Ginsburg, L. Wexler, Optimizing strategies for laser angioplasty, Invest.Radiol. 20:860 (1985).

    Article  Google Scholar 

  27. L.I. Deckelbaum, J.M. Isner, R.F. Donaldson, R.H. Clarke, S. Laliberte, A.S. Aharon, J.S. Bernstein, Reduction of pathologic tissue injury using pulsed energy delivery, Am.J.Cardiol. 56:662 (1985).

    Article  Google Scholar 

  28. L.I. Deckelbaum, M.L. Stez, K.M. O’Brien, F.W. Cutruzzola, A.F. Gmitro, Fluorescence spectroscopy guidance of laser ablation of atherosclerotic plaque. (Abs.), J.Am.Coll.Cardiol. 11:107 (1988).

    Google Scholar 

  29. M.B. Leon, L.G. Prevosti, P.D. Smith, J.A. Swain, C.L. McIntosch, H.J. Geschwind, W. Mok, D. Murphy-Chutorian, R.F. Bonner, In vivo laser-induced fluorescence plaque detection: preliminary results in patients. (Abs.), Circulation 76(suppl. IV):408 (1987).

    Google Scholar 

  30. M.R. Prince, G.M. La Muraglia, P. Teng, T.F. Deutsch, Preferential ablation of calcified arterial plaque with laser-induced plasmas, IEEE. J.Quantum Electron. QUE-23:1783 (1987).

    Google Scholar 

  31. F. Litvack, J. Margolis, N. Eigler, Rothbaum, T. Linnemeier, S. King, J. Douglas, W. Untereker, L. Hestrin, S. Cook, D. Tsoi, T. Goldenberg, J. Segalowitz, W. Grundfest, J. Forrester, Percutaneous excimer laser coronary angioplasty: results of the first 110 procedures, J.Am.Coll.Cardiol. 15(2):25A (1990).

    Article  Google Scholar 

  32. T.A. Sanborn, R.A. Hershmann, R.M. Siegel, R.A. Schatz, M.J.M. Schnee, D.R. Leachman, J.A. Bittl, Percutaneous coronary excimer laser-assisted balloon angioplasty: initial multicenter experience, J.Am.Coll.Cardiol. 15(2):25A (1990).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Cardiac Catheterization Laboratory, University Hospital Henri Mondor, INSERUM U2, Créteil, France

    Herbert J. Geschwind

Authors
  1. Herbert J. Geschwind
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institute of Quantum Electronics and Department of Physics, Florence, Italy

    Riccardo Pratesi

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Geschwind, H.J. (1991). Laser Angioplasty: State of the Art. In: Pratesi, R. (eds) Optronic Techniques in Diagnostic and Therapeutic Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3766-3_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-3766-3_21

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6678-2

  • Online ISBN: 978-1-4615-3766-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation