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激光血管成形术:氩激光能量的可控传输。

Laser angioplasty: controlled delivery of argon laser energy.

作者信息

Nordstrom L A, Castaneda-Zuniga W R, Lindeke C C, Rasmussen T M, Burnside D K

机构信息

Department of Cardiology, Park Nicollet Medical Center, St. Louis Park, MN 55416.

出版信息

Radiology. 1988 May;167(2):463-5. doi: 10.1148/radiology.167.2.2965818.

DOI:10.1148/radiology.167.2.2965818
PMID:2965818
Abstract

A laser catheter system that integrates balloon and fiberoptic technologies was evaluated. In vitro tissue studies were conducted to compare the tissue response to laser irradiation from a bare optical fiber (undiverged light beam) and from a fiber with an optical assembly (diverged light beam). An in vivo study of occluded and unoccluded canine femoral arteries examined coaxial alignment of the diverged light beam and the resultant thermal effects. In the in vitro studies, a diverged laser light beam effected maximum tissue ablation (mean crater diameter, 1.81 mm +/- 0.44) at a distance of only 3 mm from the optical fiber tip. The in vivo study demonstrated the ability of a specially designed balloon catheter to align the diverged laser beam coaxially within the arterial lumen. This laser catheter system successfully avoids the risks of inadequate tissue removal and perforation.

摘要

对一种集成了球囊和光纤技术的激光导管系统进行了评估。进行了体外组织研究,以比较裸光纤(未发散光束)和带有光学组件的光纤(发散光束)的激光照射对组织的反应。对闭塞和未闭塞的犬股动脉进行了体内研究,检查了发散光束的同轴对准情况以及由此产生的热效应。在体外研究中,发散的激光束在距光纤尖端仅3毫米的距离处实现了最大组织消融(平均弹坑直径,1.81毫米±0.44)。体内研究证明了一种特殊设计的球囊导管能够在动脉腔内将发散的激光束同轴对准。这种激光导管系统成功避免了组织切除不足和穿孔的风险。

相似文献

1
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。
Radiology. 1988 May;167(2):463-5. doi: 10.1148/radiology.167.2.2965818.
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
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.
4
[Percutaneous transluminal laser angioplasty in peripheral arterial occlusive disease--development of a new laser catheter system].[经皮腔内激光血管成形术治疗周围动脉闭塞性疾病——一种新型激光导管系统的研发]
Z Kardiol. 1988 Apr;77(4):245-50.
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[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.
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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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Rofo. 1990 Mar;152(3):259-63. doi: 10.1055/s-2008-1046865.
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Arch Mal Coeur Vaiss. 1990 Mar;83(3):363-70.
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Laser angioplasty of arterial stenoses.动脉狭窄的激光血管成形术。
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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
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引用本文的文献

1
Experimental background preceding direct laser-assisted angioplasty in the human coronary anatomy.人类冠状动脉解剖结构中直接激光辅助血管成形术之前的实验背景。
Tex Heart Inst J. 1989;16(3):158-62.
2
Laser-assisted balloon angioplasty in complete femoropopliteal occlusions: preliminary results.激光辅助球囊血管成形术治疗股腘动脉完全闭塞:初步结果。
Cardiovasc Intervent Radiol. 1991 Jul-Aug;14(4):233-7. doi: 10.1007/BF02578468.