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Percutaneous Transluminal Laser Angioplasty for Treatment of Peripheral Vascular Disease: Clinical Experience with 16 Patients

  • Robert Ginsburg
  • L. Wexler
  • R. S. Mitchell
  • D. Profitt

Abstract

Recent studies have demonstrated the ability of laser radiation to recanalize occluded or severely stenotic arteries. Lasers in the infrared, visible, and ultraviolet regions have been used successfully to ablate atherosclerotic plaques in vitro [1–9] (Table 1). Moreover, in early clinical trials, transcatheter fiberoptic neodymium/yttrium/aluminum/garnet (Nd-YAG) and argon lasers have been used to vaporize plaques in peripheral arteries [10, 11]. Theoretically, the appeal of laser angioplasty is that it can debulk or remove the lesion, in contrast to balloon angioplasty, which compresses and tears the intima in the process of mechanically dilating the vessel [12]. Although studies in rabbits, dogs, and monkeys have been used to test both the acute and chronic effects of laser angioplasty, we know of no model which can simulate all of the characteristics unique to man [13]. We wish to describe our experience with percutaneous transluminal laser angioplasty of the peripheral arteries in 16 patients with symptoms or signs of atherosclerosis.

Keywords

Atherosclerotic Plaque Balloon Angioplasty Peripheral Artery Luminal Diameter Quartz Fiber 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • Robert Ginsburg
    • 1
  • L. Wexler
  • R. S. Mitchell
  • D. Profitt
  1. 1.Vascular Treatment and Research Unit, Falk Cardiovascular Research CenterStanford Medical CenterStanfordUSA

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