Abstract
(1) Laser thermo-optical angioplasty in totally occluded peripheral arteries permits recanalization of lesions which would have otherwise required surgical bypass procedures. (2) Technical success was accomplished more frequently in patients with shorter occlusions. The technical success range in totally occluded blood vessels is 70-80%. (3) Clinical success in the peripheral circulation requires balloon angioplasty in most cases. Laser angioplasty has yet to be evaluated as monotherapy. (4) The combination of laser and balloon angioplasty has not decreased the restenosis rate from that seen with balloon angioplasty alone. (5) Restenosis rate was not influenced by lesion length. (6) In a significant number of patients with a totally occluded vessel a surgical procedure was avoided by performance of a percutaneous therapy.
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- Abela G. S., Normann S. J., Cohen D. M., Franzini D., Feldman R. L., Crea F., Fenech A., Pepine C. J., Conti C. R. Laser recanalization of occluded atherosclerotic arteries in vivo and in vitro. Circulation. 1985 Feb;71(2):403–411. doi: 10.1161/01.cir.71.2.403. [DOI] [PubMed] [Google Scholar]
- Abela G. S., Seeger J. M., Barbieri E., Franzini D., Fenech A., Pepine C. J., Conti C. R. Laser angioplasty with angioscopic guidance in humans. J Am Coll Cardiol. 1986 Jul;8(1):184–192. doi: 10.1016/s0735-1097(86)80111-5. [DOI] [PubMed] [Google Scholar]
- Choy D. S., Stertzer S. H., Myler R. K., Marco J., Fournial G. Human coronary laser recanalization. Clin Cardiol. 1984 Jul;7(7):377–381. doi: 10.1002/clc.4960070701. [DOI] [PubMed] [Google Scholar]
- Cumberland D. C., Sanborn T. A., Tayler D. I., Moore D. J., Welsh C. L., Greenfield A. J., Guben J. K., Ryan T. J. Percutaneous laser thermal angioplasty: initial clinical results with a laser probe in total peripheral artery occlusions. Lancet. 1986 Jun 28;1(8496):1457–1459. doi: 10.1016/s0140-6736(86)91498-4. [DOI] [PubMed] [Google Scholar]
- Geschwind H., Boussignac G., Teisseire B., Vieilledent C., Gaston A., Becquemin J. P., Mayiolini P. Percutaneous transluminal laser angioplasty in man. Lancet. 1984 Apr 14;1(8381):844–844. doi: 10.1016/s0140-6736(84)92285-2. [DOI] [PubMed] [Google Scholar]
- Ginsburg R., Kim D. S., Guthaner D., Toth J., Mitchell R. S. Salvage of an ischemic limb by laser angioplasty: description of a new technique. Clin Cardiol. 1984 Jan;7(1):54–58. doi: 10.1002/clc.4960070112. [DOI] [PubMed] [Google Scholar]
- Sanborn T. A., Cumberland D. C., Greenfield A. J., Welsh C. L., Guben J. K. Percutaneous laser thermal angioplasty: initial results and 1-year follow-up in 129 femoropopliteal lesions. Radiology. 1988 Jul;168(1):121–125. doi: 10.1148/radiology.168.1.2967985. [DOI] [PubMed] [Google Scholar]