PERCUTANEOUS LASER THERMAL ANGIOPLASTY: INITIAL CLINICAL RESULTS WITH A LASER PROBE IN TOTAL PERIPHERAL ARTERY OCCLUSIONS
作者： D.C Cumberland , D.I Tayler , C.L Welsh , J.K Guben , T.A Sanborn
DOI: 10.1016/S0140-6736(86)91498-4
关键词: Laser probe 、 Peripheral 、 Surgery 、 Streptokinase 、 Percutaneous 、 Thrombosis 、 Medicine 、 Laser 、 Radiology 、 Arterial disease 、 Angioplasty
摘要: A metal-tipped laser fibre was used during percutaneous angioplasty of femoral/popliteal or iliac artery occlusions in 56 patients. Primary success achieved 50 (89%) these total occlusions, providing a channel for subsequent balloon dilatation. Before the procedure, 18 lesions had been judged untreatable by conventional and four six failures were these. Complications directly attributable to probe one case vessel perforation two cases entry into walls; no sequelae. Other acute complications distal thrombosis non-heparinised patient, requiring local streptokinase treatment, reocclusions transient peripheral embolic episode first 24 hours. The technique has potential increasing proportion patients suitable angioplasty.
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