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Excimer laser angioplasty

  • Chapter
Quantitative Coronary Angiography in Clinical Practice

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 145))

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Abstract

After the invention of laser (acronym for light amplification by stimulated emission of radiation) in 1960 [1], it was not until the 1980’s that laser radiation received considerable attention as a possible new modality in the treatment of obstructive atherosclerotic disease. Continuous wave (CW) laser light from argon ion, CO2 and Nd:YAG laser sources was shown to cause vaporization of atherosclerotic plaque [2–5] and to recanalize partially as well as totally obstructed arteries [3–7]. In contrast to balloon angioplasty, in which a stenotic lesion is merely remodelled, laser radiation can bring about ablation (that is, removal) of atherosclerotic plaque. Laser ablation of plaque tissue has been proposed to potentially lead to better short-and longterm results by

  1. 1)

    removal of atherosclerotic tissue mass (‘debulking’)

  2. 2)

    decreasing medial arterial wall injury, and

  3. 3)

    leaving behind a smoother, less thrombogenic surface.

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References

  1. Maiman TH. Stimulated optical radiation in ruby. Nature 1960; 187: 493–494.

    Article  Google Scholar 

  2. Macruz R, Martins JRM, Tupinambd A da S, et al. Possibilidades terapêuticas do raio laser em ateromas. Arg Bras Cardiol 1980; 34: 9–12.

    CAS  Google Scholar 

  3. Lee G, Ikeda RM, Kozina J, Mason DT. Laser-dissolution of coronary atherosclerotic obstruction. Am Heart J 1981; 102: 1074–1075.

    Article  CAS  PubMed  Google Scholar 

  4. Abela GS, Normann S, Cohen D, Feldman RL, Geiser EA, Conti CR. Effects of carbon dioxide, Nd-YAG and argon laser radiation on coronary atheromatous plaques. Am J Cardiol 1982; 50: 1199–1205.

    Article  CAS  PubMed  Google Scholar 

  5. Lee G, Ikeda R, Herman I, et al. The qualitative effects of laser irradiation on human arteriosclerotic disease. Am Heart J 1983; 105: 885–889.

    Article  CAS  PubMed  Google Scholar 

  6. Ginsburg R, Kim DS, Guthaner D, Toth J, Mitchell RS. Salvage of an ischemic limb by laser angioplasty: description of a new technique. Clin Cardiol 1984; 7: 54–58.

    Article  CAS  PubMed  Google Scholar 

  7. Abela GS, Normann SJ, Cohen DM, et al. Laser recanalization of occluded atherosclerotic arteries in vivo and in vitro. Circulation 1985; 71: 403–411.

    Article  CAS  PubMed  Google Scholar 

  8. Choy DSJ. Vascular recanalization with the laser catheter. IEEE J Quantum Elect 1984; QE-20: 1420–1426.

    Google Scholar 

  9. Lee G, Ikeda RM, Chan MC, et al Limitations, risks and complications of laser recanalization: a cautious approach warranted. Am J Cardiol 1985; 56: 181–185.

    Article  CAS  PubMed  Google Scholar 

  10. Isner JM, Donaldson RF, Funai JT, et al. Factors contributing to perforations resulting from laser coronary angioplasty: observations in an intact human postmortem preparation of intraoperative laser coronary angioplasty. Circulation 1985; 72, suppl. II: 191–199.

    Google Scholar 

  11. Lee G, Ikeda RM, Theis JH, et al. Acute and chronic complications of laser angioplasty: vascular wall damage and formation of aneurysms in the atherosclerotic rabbit. Am J Cardiol 1984; 53: 290–293.

    Article  CAS  PubMed  Google Scholar 

  12. Choy DSJ, Stertzer SH, Myler RK, Marco J, Fournial G. Human coronary laser recanalization. Clin Cardiol 1984; 7: 377–381.

    CAS  PubMed  Google Scholar 

  13. Sanborn TA, Faxon DP, Haudenschild CC, Ryan TJ. Experimental angioplasty: circumferential distribution of laser thermal energy with a laser probe. J Am Coll Cardiol 1985; 5: 934–938.

    Article  CAS  PubMed  Google Scholar 

  14. Abela GS, Seeger JM, Barbieri E, et al. Laser angioplasty with angioscopic guidance in humans. J Am Coll Cardiol 1986; 8: 184–192.

    Article  CAS  PubMed  Google Scholar 

  15. White C, Ramee S, Aita M, et al. Enhanced efficacy and safety of silica ball-tip laser fibers for in-vivo laser angioplasty. Lasers Med Sci 1986; 1: 313–314 (abstract).

    Google Scholar 

  16. Geschwind HJ, Blair JD, Mongkolsmai D, et al. Development and experimental application of contact probe catheter for laser angioplasty. J Am Coll Cardiol 1987; 9: 101–107.

    Article  CAS  PubMed  Google Scholar 

  17. Verdaasdonk RM, van Leeuwen TGJM, Gijsbers GHM, Sprangers RLH, van Gemert MJC, Borst C. Modified fiber tips for laser angioplasty: mechanisms of action. J Interven Cardiol 1990; 3: 243–253.

    Article  Google Scholar 

  18. Sanborn TA, Cumberland DC, Greenfield AJ, Welsh CL, Guben JK. Percutaneous laser thermal angioplasty: initial results and 1-year follow-up in 129 femoropopliteal lesions. Radiology 1988; 168: 121–125.

    CAS  PubMed  Google Scholar 

  19. Crea F, Davies G, McKenna W, Pashazade M, Taylor K, Maseri A. Percutaneous laser recanalization of coronary arteries. Lancet 1986;ii: 214–215.

    Google Scholar 

  20. Cumberland DC, Oakley GDG, Smith GH, et al. Percutaneous laser-assisted coronary angioplasty. Lancet 1986; ii: 214.

    Google Scholar 

  21. Sanborn TA, Faxon DP, Kellett MA, Ryan TJ. Percutaneous coronary laser thermal angioplasty. J Am Coll Cardiol 1986; 8: 1437–1440.

    Article  CAS  PubMed  Google Scholar 

  22. Cothren RM, Kittrell C, Hayes GB, et al. Controlled light delivery for laser angiosurgery. IEEE J Quantum Elect 1986; QE-22: 4–7.

    Google Scholar 

  23. Strikwerda S, Bott-Silverman C, Ratliff NB, et al. Effects of varying argon ion laser intensity and exposure time on the ablation of atherosclerotic plaque. Lasers Surg Med 1988; 8: 6671.

    Article  Google Scholar 

  24. Strikwerda S, Kramer JR, Partovi F, Feld MS. Considerations of dosimetry for laser-tissue ablation. In: Vogel JHK, King SB III, editors. Interventional Cardiology: Future Directions. St. Louis: Mosby 1989: 54–66.

    Google Scholar 

  25. Cothren RM, Hayes GB, Kramer JR, Sacks B, Kittrell C, Feld MS. A multifiber catheter with an optical shield for laser angiosurgery. Lasers Life Sci 1986; 1: 1–12.

    Google Scholar 

  26. Cothren RM, Costello B, Hoyt C, et al. Tissue removal using an 8F multifiber shielded laser angiosurgery catheters. Lasers Life Sci 1988; 2: 75–90.

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  28. Deckelbaum LI, Isner JM, Donaldson RF, et al. Reduction of laser-induced pathologic tissue injury using pulsed energy delivery. Am J Cardiol 1985: 56: 662–667.

    Article  CAS  PubMed  Google Scholar 

  29. Pujjafito CA, Steinert RF. Short-pulsed Nd:YAG laser microsurgery of the eye: biophysical considerations. IEEE J Quantum Elect 1984; 0E - 20: 1442–1448.

    Google Scholar 

  30. Srinivasan R. Ablation of polymers and biological tissue by ultraviolet lasers. Science 1986; 234: 559–565.

    Article  CAS  PubMed  Google Scholar 

  31. Linsker R, Srinivasan R, Wynne JJ, Alonso DR. Far-ultraviolet laser ablation of atherosclerotic lesions. Lasers Surg Med 1984; 4: 201–206.

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  33. Singleton DL, Paraskevopoulos G, Taylor RS, Higginson LAJ. Excimer laser angioplasty: tissue ablation, arterial response, and fiber optic delivery. IEEE J Quantum Elect 1987; QE-23: 1772–1782.

    Google Scholar 

  34. van Leeuwen TG, van Erven L, Meertens JH, Motamedi M, Post MJ, Borst C. Origin of arterial wall dissections induced by pulsed excimer and mid-infrared laser ablation in the pig. J Am Coll Cardiol 1992; 19: 1610–1618.

    Article  PubMed  Google Scholar 

  35. Gijsbers GHM, Sprangers RLH, Keyzer M, et al. Some laser-tissue interactions in 308 nm excimer laser coronary angioplasty. J Interven Cardiol 1990; 3: 231–241.

    Article  Google Scholar 

  36. Litvack F, Eigler NL, Margolis JR, et al. Percutaneous excimer laser coronary angioplasty. Am J Cardiol 1990; 66: 1027–1032.

    Article  CAS  PubMed  Google Scholar 

  37. Hamburger JN, Gijsbers GH, Sprangers RL, van Gemert MJ, Dunning AJ. 308 nm Excimer laser tissue interaction using a modified multifiber catheter. J Am Coll Cardiol 1993; 21: 385A (abstract).

    Google Scholar 

  38. Litvack F, Grundfest W, Eigler N, et al. Percutaneous excimer laser coronary angioplasty. Lancet 1989; ii: 102–103.

    Google Scholar 

  39. Cook SL, Eigler NL, Shefer A, Goldenberg T, Forrester JS, Litvack F. Percutaneous excimer laser coronary angioplasty of lesions not ideal for balloon angioplasty. Circulation 1991; 84: 632–643.

    Article  CAS  PubMed  Google Scholar 

  40. Margolis JR, Krauthamer D, Litvack F, et al. Six month follow-up of excimer laser coronary angioplasty registry patients. J Am Coll Cardiol 1991; 17: 218A (abstract).

    Google Scholar 

  41. Sanborn TA, Torre SR, Sharma SK, et al. Percutaneous coronary excimer laser-assisted balloon angioplasty: Initial clinical and quantitative angiographie results in 50 patients. J Am Coll Cardiol 1991; 17: 94–99.

    Article  CAS  PubMed  Google Scholar 

  42. Sanborn TA, Bittl JA, Torre SR. Procedural success, in-hospital events, and follow-up: clinical and angiographie results of percutaneous coronary excimer laser-assisted angioplasty. J Am Coll Cardiol 1991; 17: 206A (abstract).

    Google Scholar 

  43. Karsch KR, Haase KK, Voelker W, Baumbach A, Mauser M, Seipel L. Percutaneous coronary excimer laser angioplasty in patients with stable and unstable angina pectoris: Acute results and incidence of restenosis during 6-month follow-up. Circulation 1990; 81: 1849–1859.

    Article  CAS  PubMed  Google Scholar 

  44. Holmes DR, Litvack F, Goldenberg T, Bresnahan JF, Cummins FE, Margolis JR, for the ELCA investigators. Excimer coronary laser angioplasty (ELCA) registry; lesion length and outcome. Circulation 1991; 84 (suppl II): II - 362 (abstract).

    Google Scholar 

  45. Sanborn TA, Bittl JA, Siegel RM, Kramer BL, Tcheng JE, Power J, for the PELCA registry. Lack of effect of lesion severity on clinical success and complication rates with percutaneous excimer laser coronary angioplasty (PELCA). Circulation 1991; 84 (suppl II): II - 362 (abstract).

    Google Scholar 

  46. The European Study Group on Coronary Excimer Laser Angioplasty. Initial results of the European multicenter registry on coronary excimer laser angioplasty. Circulation 1991; 84 (suppl II): II - 362 (abstract).

    Google Scholar 

  47. Brown BG, Bolson E, Frimer M, Dodge HT. Quantitative coronary arteriography. Circulation 1977; 55: 329–337.

    Article  CAS  PubMed  Google Scholar 

  48. Ryan TJ, Faxon DP, Gunnar RM, et al. Guidelines for percutaneous transluminal coronary angioplasty: A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee on Percutaneous Transluminal Coronary Angioplasty). J Am Coll Cardiol 1988; 12: 529–545.

    Article  Google Scholar 

  49. Ellis SG, Vandormael MG, Cowley MJ, et al. Coronary morphologic and clinical determinants of procedural outcome with angioplasty for multivessel coronary disease: Implications for patient selection. Circulation 1990; 82: 1193–1202.

    Article  CAS  PubMed  Google Scholar 

  50. Ghazzal ZMB, Burton ME, Klein JL, et al. Predictors of restenosis following excimer laser: multicenter comprehensive angiographie analysis. Circulation 1991; 84 (suppl II): II - 361 (abstract).

    Google Scholar 

  51. Dorros G, Cowley MJ, Simpson J, et al. Percutaneous transluminal coronary angioplasty: report of complications from the National Heart, Lung, and Blood Institute PTCA Registry. Circulation 1983; 67: 723–730.

    Article  CAS  PubMed  Google Scholar 

  52. Reiber JHC, Serruys PW. Quantitative coronary angiography. In: Marcus ML, Schelbert HR, Skorton DJ, Wolf GL, editors. Cardiac Imaging. A Companion to Braunwalds Heart Disease. Philadelphia: Saunders, 1991: 213–280.

    Google Scholar 

  53. Appelman Y, Koolen JJ, Piek J, et al. First randomized clinical trial of excimer laser versus balloon angioplasty: the AMRO study. Lasers Med Sci 1992; 7: 297 (abstract).

    Google Scholar 

  54. Strikwerda S, Koolen JJ, de Feyter PJ, et al. Excimer laser coronary angioplasty in the Netherlands: Preamble for a randomized study. Am Heart J 1993; 125: 838–847.

    Article  CAS  PubMed  Google Scholar 

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Authors
  1. Sipke Strikwerda
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  2. Eline Montauban Van Swijndregt
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  3. Patrick W. Serruys
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Editor information

Editors and Affiliations

  1. Thoraxcenter, Erasmus, University Rotterdam, Rotterdam, The Netherlands

    Patrick W. Serruys , David P. Foley  & Pim J. De Feyter ,  & 

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Strikwerda, S., Van Swijndregt, E.M., Serruys, P.W. (1994). Excimer laser angioplasty. In: Serruys, P.W., Foley, D.P., De Feyter, P.J. (eds) Quantitative Coronary Angiography in Clinical Practice. Developments in Cardiovascular Medicine, vol 145. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8358-9_32

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  • DOI: https://doi.org/10.1007/978-94-015-8358-9_32

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-4295-8

  • Online ISBN: 978-94-015-8358-9

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