Ginsburg R, Kim D S, Guthaner D, Toth J, Mitchell R S
Clin Cardiol. 1984 Jan;7(1):54-8. doi: 10.1002/clc.4960070112.
A 62-year-old male with severe claudication and rest pain of the left leg resulting from a totally occluded superficial femoral artery and a 95% stenosis of the deep femoral artery was treated with laser angioplasty after attempts at surgical revascularization were unsuccessful. A 200 mu silica fiber was inserted through a catheter and advanced into the lesion using 2 watts of delivered energy from an argon laser source. The fiber was then withdrawn from the lesion using 7 watts of energy to enlarge the lumen. No complications occurred, and posterior tibial blood flow was reestablished, as shown by Doppler flow measurements and resolution of clinical symptoms. We report a new technique of transcatheter fiberoptic-directed argon laser radiation (laser angioplasty) for the treatment of occlusive vascular disease.
一名62岁男性，因股浅动脉完全闭塞和股深动脉95%狭窄导致左腿严重间歇性跛行和静息痛，在外科血管重建术尝试失败后接受了激光血管成形术治疗。通过导管插入一根200微米的石英纤维，使用氩激光源输送的2瓦能量将其推进到病变部位。然后使用7瓦能量将纤维从病变部位抽出以扩大管腔。未发生并发症，经多普勒血流测量和临床症状缓解表明，胫后血流得以重建。我们报告了一种经导管光纤引导氩激光辐射（激光血管成形术）治疗闭塞性血管疾病的新技术。
