Reekers J A, Sprangers R L, van de Kley A J
Department of Radiology, University of Amsterdam, The Netherlands.
Cardiovasc Intervent Radiol. 1991 Mar-Apr;14(2):113-4. doi: 10.1007/BF02577707.
Perforation is the most important complication of laser angioplasty and leads to a decrease in success because the procedure has to be discontinued. In 3 patients we continued despite perforation and were able to stop extravasation with percutaneous transluminal angioplasty (PTA) and to finish the procedure with a good final result. From our experience we conclude that laser perforation is not an absolute indication to stop the procedure if PTA in the recanalized lumen is possible.