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Laser ablation and the need for intra-arterial imaging

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Book cover Intravascular ultrasound

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Abstract

In 48 patients with severe claudication due to a total obstruction of the femoropopliteal artery, percutaneous recanalization was attempted with a 2.2 mm diameter rounded sapphire contact probe in conjunction with a continuous wave Nd:YAG laser. In eight patients the contact probe laser catheter took a subintimal course that could not be redressed. Laser recanalization needs high-resolution diagnostic information on the complex anatomy of the obstruction. Intra-arterial ultrasound imaging may provide the necessary information to evaluate, monitor or guide novel angioplasty techniques. The design of an ultrasound catheter which combines high-resolution diagnostic imaging with steerability, flexibility and controlled ablation is now the major engineering challenge in interventional cardiology.

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Author information

Authors and Affiliations

  1. Department of Cardiology, Heart-Lung Institute, UK

    C. Borst & L. van Erven

  2. Interuniversity Cardiology Institute of the Netherlands, UK

    R. Rienks

  3. Department of Radiology, University Hospital Utrecht, Catharijnesingel 101, 3511 GV, Utrecht, The Netherlands

    W. P. T. M. Mali

Authors
  1. C. Borst
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  2. R. Rienks
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  3. W. P. T. M. Mali
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  4. L. van Erven
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N. Bom J. Roelandt

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© 1989 Kluwer Academic Publishers

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Borst, C., Rienks, R., Mali, W.P.T.M., van Erven, L. (1989). Laser ablation and the need for intra-arterial imaging. In: Bom, N., Roelandt, J. (eds) Intravascular ultrasound. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1007-2_6

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  • DOI: https://doi.org/10.1007/978-94-009-1007-2_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6943-4

  • Online ISBN: 978-94-009-1007-2

  • eBook Packages: Springer Book Archive

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