Vorwerk D, Vollmer B, Handt S, Günther R W
Klinik für Radiologische Diagnostik der RWTH Aachen.
Rofo. 1994 Jan;160(1):84-8. doi: 10.1055/s-2008-1032378.
In an animal study, thermal laser application was tested for inducing venous thrombosis. In 54 rats, metal-tipped laser catheters ("hot tip") were trans-jugularly inserted into the distal inferior caval vein which was thermally damaged by laser pulses of 4-7 W. Suitable energy levels were defined in an acute experiment in 25 rats. Chronic experiment with 29 rats included survival time of two weeks after laser application, autopsy and histological work-up of the caval vein. In 27 rats, laser application was successfully performed and induced thrombosis in 17 animals. Perforation of the caval vein occurred in 10 rats. Thermal laser application is capable of inducing venous thrombosis. The power ranges inducing thrombosis or thermal perforation are, however, too narrow to allow safe clinical application of this technique.
在一项动物研究中,对热激光应用诱导静脉血栓形成进行了测试。在54只大鼠中,将金属尖端激光导管(“热尖端”)经颈静脉插入下腔静脉远端,通过4-7W的激光脉冲对其进行热损伤。在25只大鼠的急性实验中确定了合适的能量水平。对29只大鼠进行的慢性实验包括激光照射后两周的存活时间、尸检以及下腔静脉的组织学检查。在27只大鼠中成功进行了激光照射,17只动物诱导形成了血栓。10只大鼠出现了下腔静脉穿孔。热激光应用能够诱导静脉血栓形成。然而,诱导血栓形成或热穿孔的功率范围过窄,无法安全地将该技术应用于临床。