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激光热血管成形术:从实验模型到早期人体试验经验

Laser thermal angioplasty: from the experimental model to early human experience.

作者信息

Ryan T J, Sanborn T A, Cumberland D C, Faxon D P, Haudenschild C C

出版信息

Trans Am Clin Climatol Assoc. 1987;98:36-42.

PMID:2956750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2279726/
Abstract

The use of flexible fiberoptic fibers to transmit laser energy for the ablation of atherosclerotic obstructions has significant potential in the cardiovascular area; initial clinical trials indicate that some of the early limitations of laser angioplasty can be solved. Laser thermal angioplasty has now been clinically demonstrated to be a safe and effective adjunct to balloon angioplasty for the management of symptomatic femoropopliteal disease. Based on the earliest experience of laser thermal angioplasty in human coronary arteries, the procedure is feasible. It seems clear that considerable technologic advancements in catheter design are required to improve the safety and efficacy of this new technique.

摘要

利用柔性光纤传输激光能量以消融动脉粥样硬化阻塞物在心血管领域具有巨大潜力;初步临床试验表明,激光血管成形术的一些早期局限性能够得到解决。激光热血管成形术现已在临床上被证明是治疗有症状的股腘动脉疾病时,作为球囊血管成形术的一种安全有效的辅助手段。基于激光热血管成形术在人类冠状动脉的最早经验,该手术是可行的。显然,需要在导管设计方面取得相当大的技术进步,以提高这项新技术的安全性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5a/2279726/1af31d790d05/tacca00090-0088-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5a/2279726/1af31d790d05/tacca00090-0088-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5a/2279726/1af31d790d05/tacca00090-0088-a.jpg

相似文献

1
Laser thermal angioplasty: from the experimental model to early human experience.激光热血管成形术:从实验模型到早期人体试验经验
Trans Am Clin Climatol Assoc. 1987;98:36-42.
2
Experimental and clinical angioplasty with a laser probe fiberoptic catheter system.使用激光探头光纤导管系统进行的实验性和临床血管成形术。
Thorac Cardiovasc Surg. 1988 Jun;36 Suppl 2:133-6. doi: 10.1055/s-2007-1022988.
3
Interventional cardiovascular therapy by laser and thermal angioplasty.
Circulation. 1990 Mar;81(3 Suppl):IV109-16.
4
[A new method of laser angioplasty by contact sapphire: preliminary results. Apropos of 20 cases].[接触式蓝宝石激光血管成形术的新方法:初步结果。关于20例病例]
Arch Mal Coeur Vaiss. 1988 Mar;81(3):253-8.
5
[Use of the thermal laser effect of laser irradiation for cardiovascular applications exemplified by the Nd:YAG laser].
Z Kardiol. 1989 Nov;78(11):689-700.
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[Excimer laser angioplasty. I. The tissue effects of a ring catheter system on peripheral arterial vessels].[准分子激光血管成形术。I. 环形导管系统对外周动脉血管的组织效应]
Rofo. 1990 Feb;152(2):163-7. doi: 10.1055/s-2008-1046844.
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[Percutaneous peripheral laser angioplasty: initial clinical results].经皮外周激光血管成形术:初步临床结果
Z Kardiol. 1988 Jan;77(1):29-35.
8
Laser angioplasty: controlled delivery of argon laser energy.激光血管成形术:氩激光能量的可控传输。
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Laser therapy in the treatment of cardiovascular disease.激光疗法在心血管疾病治疗中的应用。
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本文引用的文献

1
[Therapeutic possibilities of the laser beam in atheromas].[激光束在动脉粥样硬化中的治疗可能性]
Arq Bras Cardiol. 1980 Jan;34(1):9-12.
2
Laser-dissolution of coronary atherosclerotic obstruction.冠状动脉粥样硬化性阻塞的激光消融术。
Am Heart J. 1981 Dec;102(6 Pt 1):1074-5. doi: 10.1016/0002-8703(81)90496-8.
3
Effects of carbon dioxide, Nd-YAG, and argon laser radiation on coronary atheromatous plaques.二氧化碳、钕钇铝石榴石和氩激光辐射对冠状动脉粥样斑块的影响。
Am J Cardiol. 1982 Dec;50(6):1199-205. doi: 10.1016/0002-9149(82)90448-9.
4
Salvage of an ischemic limb by laser angioplasty: description of a new technique.激光血管成形术挽救缺血肢体:一种新技术的描述。
Clin Cardiol. 1984 Jan;7(1):54-8. doi: 10.1002/clc.4960070112.
5
Human coronary laser recanalization.人类冠状动脉激光再通术。
Clin Cardiol. 1984 Jul;7(7):377-81. doi: 10.1002/clc.4960070701.
6
Results from coronary angioplasty and implications for the future.冠状动脉血管成形术的结果及其对未来的影响。
Am Heart J. 1982 Apr;103(4 Pt 2):779-83. doi: 10.1016/0002-8703(82)90486-0.
7
Repeat coronary angioplasty.
J Am Coll Cardiol. 1984 Sep;4(3):463-6. doi: 10.1016/s0735-1097(84)80088-1.
8
Angioplasty in total coronary artery occlusion.
J Am Coll Cardiol. 1984 Mar;3(3):845-9. doi: 10.1016/s0735-1097(84)80263-6.
9
Laser coronary angioplasty: experience with 9 cadaver hearts.激光冠状动脉成形术:9例尸体心脏的经验
Am J Cardiol. 1982 Dec;50(6):1209-11. doi: 10.1016/0002-9149(82)90450-7.
10
Transluminal laser catheter angioplasty.腔内激光导管血管成形术
Am J Cardiol. 1982 Dec;50(6):1206-8. doi: 10.1016/0002-9149(82)90449-0.