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Atherectomy using a solid-state laser at 355 nm wavelength.

Amir Herzog1, Grzegorz Oszkinis2, David Planer3

  • 1Department of Electrical and Computer Engineering, Ben-Gurion University, Beer-Sheva, Israel.

Journal of Biophotonics
|January 21, 2017
PubMed
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This summary is machine-generated.

This study demonstrates a novel laser atherectomy technique for peripheral arterial disease (PAD). The 355 nm pulsed laser successfully recanalized blocked arteries in preclinical and clinical settings, showing promise for PAD treatment.

Area of Science:

  • Cardiovascular Medicine
  • Medical Devices
  • Laser Technology

Background:

  • Peripheral arterial disease (PAD) significantly increases risks of ischemic events, limb loss, and mortality.
  • Atherosclerosis is the primary cause of PAD, often leading to arterial calcification and occlusion.
  • Novel minimally invasive techniques are needed for effective PAD treatment.

Purpose of the Study:

  • To evaluate the efficacy and safety of a 355 nm solid-state pulsed laser delivered via a hybrid catheter for atherectomy.
  • To assess the laser's performance in preclinical models and human clinical cases of chronic total occlusions.

Main Methods:

  • Utilized a hybrid catheter system combining optical fibers and a mechanical blade with a 355 nm solid-state pulsed laser.
  • Conducted a preclinical study on a calcified cadaveric leg and an in vivo porcine iliac artery model.
Keywords:
355 nmPeripheral arterial diseaseatherectomylaser ablationrecanalization

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  • Applied the technique to two clinical cases involving chronic total occlusions with calcified lesions.
  • Main Results:

    • Achieved successful recanalization of the occluded cadaveric leg.
    • Porcine study showed no thermal necrosis in histopathology and no arterial wall damage.
    • Animal trials revealed no significant impact on blood count or biochemistry.
    • Both clinical cases resulted in successful arterial recanalization, followed by balloon angioplasty.

    Conclusions:

    • The 355 nm solid-state pulsed laser atherectomy system represents a viable proof of concept for treating PAD.
    • The technique demonstrated safety and efficacy in preclinical and clinical settings for calcified arterial lesions.
    • This laser-based approach offers a promising new option for managing complex PAD cases.