Recanalisation of occluded peripheral arteries by excimer laser. 1990

A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
Department of Vascular Surgery, Vishnevsky Institute of Surgery of the U.S.S.R., Moscow.

Laser recanalisation was attempted in 24 patients with total segmental occlusions of the lower extremity arteries and the aortic arch branches. All patients were men aged 40-82 years, in 20 the lesions were caused by atherosclerosis, in three by Buerger's thromboangiitis and in one by postembolic occlusion. Angioplasty was performed using excimer lasers with a wavelength of 308 nm and with monofiber waveguides in the transcutaneous transcatheter mode. Recanalisation of the vessel throughout the length of the obliterated segment was successful in 13 out of 24 patients. In all patients with thromboangiitis, energy losses were less than in atherosclerotic occlusions and no problems were experienced in patients with severe calcification. A high percentage of failures is a result of imperfect technology and low effectiveness of control, this must be improved. The Vishnevsky Institute of Surgery in collaboration with the Institute of General Physics has been developing a method of recanalisation of occluded arteries using excimer laser radiation. This paper is a preliminary analysis of our first clinical results.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011150 Popliteal Artery The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries. Arteria Poplitea,Artery, Popliteal,Popliteal Arteries
D005263 Femoral Artery The main artery of the thigh, a continuation of the external iliac artery. Common Femoral Artery,Arteries, Common Femoral,Arteries, Femoral,Artery, Common Femoral,Artery, Femoral,Common Femoral Arteries,Femoral Arteries,Femoral Arteries, Common,Femoral Artery, Common
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D001161 Arteriosclerosis Thickening and loss of elasticity of the walls of ARTERIES of all sizes. There are many forms classified by the types of lesions and arteries involved, such as ATHEROSCLEROSIS with fatty lesions in the ARTERIAL INTIMA of medium and large muscular arteries. Arterioscleroses
D016342 Angioplasty, Laser A technique utilizing a laser coupled to a catheter which is used in the dilatation of occluded blood vessels. This includes laser thermal angioplasty where the laser energy heats up a metal tip, and direct laser angioplasty where the laser energy directly ablates the occlusion. One form of the latter approach uses an EXCIMER LASER which creates microscopically precise cuts without thermal injury. When laser angioplasty is performed in combination with balloon angioplasty it is called laser-assisted balloon angioplasty (ANGIOPLASTY, BALLOON, LASER-ASSISTED). Laser Angioplasty,Angioplasties, Laser,Laser Angioplasties

Related Publications

A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
March 1994, European journal of vascular surgery,
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
February 1991, Radiology,
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
August 1990, Radiology,
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
September 1986, Lancet (London, England),
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
July 1986, Lancet (London, England),
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
June 1991, Japanese circulation journal,
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
December 1978, Deutsche medizinische Wochenschrift (1946),
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
January 2001, Lasers in medical science,
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
August 1992, The Surgical clinics of North America,
A V Pokrovsky, and Volynsky JuD, and V I Konov, and M E Sargin, and A S Silenok, and V V Goloma, and M V Puretsky, and D F Belojartsev
February 2015, Nature reviews. Cardiology,
Copied contents to your clipboard!