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Holmium: YAG Coronary Laser Angioplasty (HOLCA). The American Experience

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Coronary Laser Angioplasty
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Abstract

The development of a clinically effective laser angioplasty system for the percutaneous recanalization of occlusive coronary artery atherosclerosis is a complex task involving the selection of an optimal laser wavelength and coupling this energy source to a delivery catheter which can safely and effectively recanalize lesions in the coronary arteries. The potential advantages of using laser energy for percutaneous revascularization of coronary artery disease include; 1) reducing the restenosis rate that occurs following balloon angioplasty in approximately one-third of patients [5, 8]; 2) reducing the frequency of abrupt artery occlusion and emergency coronary bypass grafting associated with balloon angioplasty [1]; and 3) extending the indications for percutaneous recanalization to patients currently considered to be poor candidates for balloon angioplasty, such as those with unfavorable lesions or diffuse disease [12, 15].

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References

  1. Cowley MJ, Dorros G, Kelsey SF, Van Raden M, Detre KM (1984) Emergency coronary bypass surgery after Coronary Angioplasty: The National Heart, Lung, and Blood Institute’s per-cutaneous transluminal coronary angioplasty registry experience. Am J Cardiol 53: 22c - 22c

    Article  PubMed  CAS  Google Scholar 

  2. Deckelbaum LI, Donaldson RF, Isner JM, Bernstein JS, Clark RH (1985) Elimination of pathologic injury associated with laser induced tissue ablation using pulsed energy delivery at low repetition rates (abstract). J Am Coll Cardiol 5: 408A

    Google Scholar 

  3. Esterowitz L, Hoffman C, Storm M (1986) A comparison of the erbium mid-IR laser and the short wavelength UV excimer lasers for medical applications. Proc International Conference on Lasers: 536–539

    Google Scholar 

  4. Forrester JS, Litvack F, Grundfest W, Mohr FW, Papaioannou T, Goldenberg T, Laundenslager J (1988) The excimer laser: Current knowledge and future prospects. J Interven Cardiol 1: 75–80

    Google Scholar 

  5. Holmes DR, Vlietstra RE, Smith HC, Vetrovec GW, Kent KM, Cowley JM, Faxon DP, Gruentzig AR, Kelsey SF, Detre KM, Van Raden MJ, Mock MB (1984) Restenosis after percutaneous transluminal coronary angioplasty (PTCA): A report from the PTCA registry of the National Heart, Lung, and Blood Institute. Am J Cardiol 53: 77c - 81c

    Article  PubMed  Google Scholar 

  6. Karsch KR, Haase KK, Voelker W, Baumbach A, Mauser M, Seipel L (1990) Percutaneous coronary excimer laser angioplasty in patients with stable and unstable angina pectoris. Circulation 81: 1849–1859

    Article  PubMed  CAS  Google Scholar 

  7. Kopchok GE, White RA, Tabbara M, Saadatmanesh V, Peng S (1990) Holmium: YAG laser ablation of vascular tissue. Lasers Surg Med 10: 405–413

    Google Scholar 

  8. Leimgruber PP, Roubin GS, Hollman J, Cotsonis GA, Douglas JS, King SB, Gruentzig AR (1986) Restenosis after successful coronary angioplasty in patients with single vessel disease. Circulation 73: 710–717

    Article  PubMed  CAS  Google Scholar 

  9. Litvack F, Eigler NL, Margolis JR, Grundfest WS, Rothbaum D, Linnemeier T, Hestrin LB, Tsoi D, Cook SL, Drauthamer D, Goldenberg Tsvi, Laudenslager JR (1990) Percutaneous excimer laser coronary angioplasty. Am J Cardiol 66: 1027–1032

    Article  PubMed  CAS  Google Scholar 

  10. Macruz R, Ribeiro MP, BrumJMG, Pasqualucci A, Mnitentag J, Bozinis DG, Marques E, Jatene AD, Decourt LV, Armelin E (1985) Laser surgery in enclosed spaces: A review. Lasers Surg Med 5: 199–218

    Google Scholar 

  11. Parrish JA, Anderson RR, Harriet T, Paul B, Murphy GF (1983) Selective thermal effects with pulsed irradiation from lasers: From organ to organelle. Dermatology 80: 75s - 80s

    CAS  Google Scholar 

  12. Ryan TJ, Klocke FJ, Reynolds WA (1990) Clinical competence in percutaneous transluminal coronary angioplasty. Circulation 81: 2041–2046

    Article  Google Scholar 

  13. Sanborn TA, Hershman RA, Torre SR, Sherman W, Cohen M, Ambruse JA (1989) Percutaneous excimer laser coronary angioplasty. Lancet 2: 616

    Article  PubMed  CAS  Google Scholar 

  14. Selzer PM, Murphy-Chutorian D, Ginsburg R, Wexler L (1985) Optimizing strategies for laser angioplasty. Invest Radiol 20: 860–866

    Article  PubMed  CAS  Google Scholar 

  15. Spies JB, Bakal CW, Burke DR, Bonnier JJ (1990) Guidlines for percutaneous transluminal angioplasty. Radiology 177: 619–626

    Google Scholar 

  16. Van Gemert MC, Schets G, Stassen EG (1985) Modeling of (coronary) laser-angioplasty. Lasers Surg Med 5: 219–234

    Article  PubMed  Google Scholar 

  17. Van Gernert MC, Welch AJ, Bonnier JJ, Valvano JW, Yoon G, Rastegar S (1986) Some physical concepts in laser angioplasty. Sem Interven Radiol 3: 27–38

    Article  Google Scholar 

  18. Welch AJ, Valvano JW, Pearce JA, Hayes LJ, Motamedi M (1985) Effect of laser radiation on tissue during laser angioplasty. Lasers Surg Med 5: 251–264

    Article  PubMed  CAS  Google Scholar 

  19. White CJ, Ramee SR, Mesa JE, Collins TJ, Murgo JP, Godfrey M (1990) Recanalization of totally occluded arteries using a holmium: YAG laser and lensed optical fiber (abstract). Circulation 82 (suppl III): III - 677

    Google Scholar 

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© 1991 Springer-Verlag Berlin Heidelberg

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White, C.J., Ramee, S.R. (1991). Holmium: YAG Coronary Laser Angioplasty (HOLCA). The American Experience. In: Karsch, K.R., Haase, K.K. (eds) Coronary Laser Angioplasty. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-06416-0_9

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  • DOI: https://doi.org/10.1007/978-3-662-06416-0_9

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-662-06418-4

  • Online ISBN: 978-3-662-06416-0

  • eBook Packages: Springer Book Archive

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