Intraoperative use of dual fiberoptic catheter for simultaneous in vivo visualization and laser vaporization of peripheral atherosclerotic obstructive disease
作者:
Garrett Lee,
Richard M. Ikeda,
Daniel Stobbe,
Claire Ogata,
Abraham Embi,
Ming C. Chan,
Robert L. Reis,
Dean T. Mason,
期刊:
Catheterization and Cardiovascular Diagnosis
(WILEY Available online 1984)
卷期:
Volume 10,
issue 1
页码: 11-16
ISSN:0098-6569
年代: 1984
DOI:10.1002/ccd.1810100104
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: laser angioplasty;peripheral vascular disease;atherosclerotic disease
数据来源: WILEY
摘要:
AbstractSince laser energy has been shown to produce controlled thermal injury to atherosclerotic plaques from postmortem human hearts, a 3‐mm diameter fiberoptic catheter was devised and tested for use in peripheral vessels. The catheter has channels for viewing, laser delivery, and suction/flushing. In five femoral or carotid arteries from three dogs implanted with near‐total human atherosclerotic obstructions, the fiberoptic catheter was capable of viewing and targeting the atherosclerotic plaque for laser irradiation. The plaque was vaporized using 5 watts with time exposures lasting from 2 to 5 sec from an argon‐ion laser. In three other animals each implanted with a 3‐ to 4‐cm long segment of human cadaver atherosclerotic vessel, the fiberoptic catheter clearly visualized the internal diseased vascular wall. Thus, this investigation provides the initial demonstration and practicality of applying a flexible dual fiberoptic catheter for simultaneous in vivo visualization and laser vaporization of peripheral atheroscleroti
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