Ahmed W H, Bittl J A
Brigham and Women's Hospital, Boston, Massachusetts.
Cardiol Clin. 1994 Nov;12(4):585-93.
Excimer laser angioplasty has evolved from a difficult experimental procedure to a more refined intervention with flexible catheters, well-defined indications, and consistent results for certain lesion types such as aortoostial stenosis, total occlusions, and certain saphenous vein graft lesions. This article reviews the current clinical results with excimer laser angioplasty, discusses the procedural technique and indications, and emphasizes the need for rigorous comparison of excimer laser angioplasty with alternative approaches for patients with coronary artery disease.
准分子激光血管成形术已从一项困难的实验性手术发展成为一种更为精细的介入治疗方法，采用了可弯曲导管，有明确的适应证，并且对于某些病变类型，如主动脉开口狭窄、完全闭塞以及某些大隐静脉移植血管病变，能取得一致的治疗效果。本文回顾了准分子激光血管成形术的当前临床结果，讨论了手术技术和适应证，并强调了对于冠心病患者，需将准分子激光血管成形术与其他替代方法进行严格比较。
