Levy J M, Hessel S J, Horsley W W, Cook G C, Dickey J E
Department of Diagnostic Radiology, Scottsdale Memorial Hospital, AZ 85251.
Radiology. 1989 Mar;170(3 Pt 2):1017-8. doi: 10.1148/radiology.170.3.2521738.
The experience with laser-assisted angioplasty at a community hospital was reviewed. One hundred twenty patients required angioplasty during a 7-month period, and in only 17-13 of whom had superficial femoral artery occlusions--was the use of lasers deemed appropriate. The success rate was 65% for laser-assisted angioplasty and 98% for balloon angioplasty. Laser-assisted angioplasty was the initial intervention in eight of the 13 superficial femoral artery occlusions. In two cases, a wire had been first advanced across the lesion, and in three cases, attempts to cross the lesion with a wire had been unsuccessful. The availability of the laser did not significantly increase the number of cases amenable to angioplasty, and at present laser angioplasty, does not seem to be cost-effective for community hospitals.
回顾了一家社区医院进行激光辅助血管成形术的经验。在7个月的时间里，有120名患者需要进行血管成形术，其中只有17例（13例为股浅动脉闭塞）被认为适合使用激光。激光辅助血管成形术的成功率为65%，球囊血管成形术的成功率为98%。激光辅助血管成形术是13例股浅动脉闭塞中8例的初始干预措施。在2例中，首先有导丝穿过病变部位，在3例中，试图用导丝穿过病变部位未成功。激光的可用性并没有显著增加适合进行血管成形术的病例数量，目前对于社区医院来说，激光血管成形术似乎不具有成本效益。
