Excimer laser—assisted femoral angioplasty: Early results

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Presentation transcript:

Excimer laser—assisted femoral angioplasty: Early results Walter J. McCarthy, MD, Robert L. Vogelzang, MD *, Albert A. Nemcek, MD *, Allen Joseph, MD *, William H. Pearce, MD, William R. Flinn, MD, James S.T. Yao, MD, PhD Journal of Vascular Surgery Volume 13, Issue 5, Pages 607-614 (May 1991) DOI: 10.1016/0741-5214(91)90343-S Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Superficial femoral artery stenosis of a patient with claudication. Journal of Vascular Surgery 1991 13, 607-614DOI: (10.1016/0741-5214(91)90343-S) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 This previously stenotic artery, seen in Fig. 1, was first traversed with a 0.018 guide wire and then a 2.2 mm over-the-wire laser catheter. The resulting lumen is sufficient to allow standard balloon angioplasty. Journal of Vascular Surgery 1991 13, 607-614DOI: (10.1016/0741-5214(91)90343-S) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 This previously stenotic artery, seen in Figs. 1 and 2, now has a significantly improved lumen after laser angioplasty and standard balloon angioplasty. Journal of Vascular Surgery 1991 13, 607-614DOI: (10.1016/0741-5214(91)90343-S) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Superficial femoral artery occlusion of a patient with foot gangrene. Journal of Vascular Surgery 1991 13, 607-614DOI: (10.1016/0741-5214(91)90343-S) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 This occluded artery, seen in Fig. 4, was primarily opened with a balloon-oriented end-on catheter. The lumen was not sufficient but allowed standard balloon angioplasty. Journal of Vascular Surgery 1991 13, 607-614DOI: (10.1016/0741-5214(91)90343-S) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 After balloon angioplasty, this previously occluded artery, seen in Figs. 4 and 5, had a diameter resembling the adjacent vessel. Journal of Vascular Surgery 1991 13, 607-614DOI: (10.1016/0741-5214(91)90343-S) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions