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经导管激光消融人体动脉粥样硬化斑块:一种测试导管和技术的模型。

Transcatheter laser dissolution of human atherosclerotic plaques: a model for testing catheters and techniques.

作者信息

Gessman L, Reno C, Maranhao V

出版信息

Cathet Cardiovasc Diagn. 1984;10(1):47-54. doi: 10.1002/ccd.1810100111.

DOI:10.1002/ccd.1810100111
PMID:6231995
Abstract

We constructed a model of the human arterial circulation that can be used to test laser angioplasty catheters and techniques on obstructed human coronary arteries under simulated physiologic conditions of blood pressure and flow. In this model system, a balloon-tipped catheter with a central, 0.02-cm light fiber was used to deliver 4 W of laser energy to two obstructed human cadaver coronary artery segments and four normal dog femoral artery segments. Flushing the catheter with saline during the lases minimized lateral thermal tissue damage. Channels were created in the obstructed arteries that were twice the diameter of the light fiber used to lase. One of four dog arteries perforated, underscoring the potential hazards of the procedure and the need for laser catheters that are flexible and capable of precise alignment.

摘要

我们构建了一个人体动脉循环模型,可用于在模拟的血压和血流生理条件下,对阻塞的人体冠状动脉进行激光血管成形术导管和技术测试。在该模型系统中,使用带有中心0.02厘米光导纤维的球囊导管,将4瓦激光能量输送到两段阻塞的人体尸体冠状动脉节段和四段正常犬股动脉节段。激光照射期间用盐水冲洗导管可将侧向热组织损伤降至最低。在阻塞动脉中形成的通道直径是用于激光照射的光导纤维直径的两倍。四条犬动脉中有一条发生穿孔,突出了该操作的潜在风险以及对灵活且能精确对准的激光导管的需求。

相似文献

1
Transcatheter laser dissolution of human atherosclerotic plaques: a model for testing catheters and techniques.经导管激光消融人体动脉粥样硬化斑块:一种测试导管和技术的模型。
Cathet Cardiovasc Diagn. 1984;10(1):47-54. doi: 10.1002/ccd.1810100111.
2
Intraoperative use of dual fiberoptic catheter for simultaneous in vivo visualization and laser vaporization of peripheral atherosclerotic obstructive disease.术中使用双光纤导管同时对周围动脉粥样硬化性阻塞性疾病进行体内可视化和激光汽化治疗。
Cathet Cardiovasc Diagn. 1984;10(1):11-6. doi: 10.1002/ccd.1810100104.
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
Development and experimental application of contact probe catheter for laser angioplasty.
J Am Coll Cardiol. 1987 Jan;9(1):101-7. doi: 10.1016/s0735-1097(87)80088-8.
5
Conditions for effective Nd-YAG laser angioplasty.有效钕钇铝石榴石激光血管成形术的条件。
Br Heart J. 1984 Nov;52(5):484-9. doi: 10.1136/hrt.52.5.484.
6
[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.
7
[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.
8
Laser angioplasty of arterial stenoses.动脉狭窄的激光血管成形术。
Cardiovasc Intervent Radiol. 1986;9(5-6):313-7. doi: 10.1007/BF02577962.
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Histological and angiographic effects of a pulsed holmium:YAG laser in normal and atherosclerotic human coronary arteries and aorta.
Cardiovasc Res. 1992 Oct;26(10):994-1000. doi: 10.1093/cvr/26.10.994.
10
Transluminal carbon dioxide-laser catheter angioplasty for dissolution of atherosclerotic plaques.经腔二氧化碳激光导管血管成形术用于溶解动脉粥样硬化斑块。
J Am Coll Cardiol. 1984 Jan;3(1):135-7. doi: 10.1016/s0735-1097(84)80439-8.

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Analysis of particle size generated during plaque ablation with a flashlamp pumped pulsed dye laser.闪光灯泵浦脉冲染料激光斑块消融过程中产生的颗粒大小分析。
Cardiovasc Intervent Radiol. 1995 Jan-Feb;18(1):35-8. doi: 10.1007/BF02807353.