{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T13:10:41Z","timestamp":1698066641395},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2005,10,25]],"date-time":"2005-10-25T00:00:00Z","timestamp":1130198400000},"content-version":"vor","delay-in-days":5656,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet. Cardiovasc. Diagn."],"published-print":{"date-parts":[[1990,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Laser thermal recanalization has been used clinically as an adjunct to balloon angioplasty in the treatment of peripheral arteriosclerotic disease, with improved initial success rates in total peripheral occlusions and greater 1 yr vessel patency suggested, as compared to balloon angioplasty alone. However, the morphological effects of laser\u2010assisted balloon angioplasty are unknown. Therefore the goals of the present study were to evaluate 1) the angiographic and nistologic effects of laser thermal recanalization followed by balloon angioplasty and 2) the hypothesis that balloon\u2010catheter\u2010induced neointimal fracture could be sealed by subsequent laser thermal angioplasty in an experimental rabbit iliac artery atherosclerotic model.<\/jats:p><jats:p>In Group 1(7 vessels), a 1.5 mm metal capped argon laser fiberoptic was introduced via femoral arteriotomy and 10 W of thermal power was applied to the iliac artery stenosis for 5 sec while maintaining constant back\u2010and\u2010forth motion. Thereafter, balloon angioplasty was performed in the same vessel segment with a 2.5 mm balloon catheter inflated 3 times at 5 atm for 30 sec each. Mean angiographic luminal diameter increased from 1.1 mm to 2.0 mm after both procedures, and mean final post balloon dissection grade was 0.6 on a scale of 0,1 +, and 2 +. Perforation occurred once with the laser probe and once with the balloon catheter. Histologic examination of these vessels was characterized by irregular thermal erosions with minimal reactive thrombosis.<\/jats:p><jats:p>In Group 2 (10 vessels), the sequence was reversed, with laser thermal angioplasty following balloon dilation. Mean angiographic luminal diameter improved from 1.2 mm to 1.8 mm after both procedures. The mean post laser thermal angioplasty dissection grade was 1.3, which was twice that of Group 1. Perforation occurred once with the balloon catheter and twice with the laser probe. In only 1 of the 10 vessels was there histologic evidence suggestive of neointimal sealing.<\/jats:p><jats:p>In conclusion, laser thermal recanalization prior to balloon angioplasty appears to decrease the degree of angiographic dissection. Histologically, the thermal effect may be eccentric, and thrombosis appears to be limited. However, laser thermal sealing was not found to be feasible with the current 1.5 mm metal\u2010capped fiberoptic after dilation with a 2.5 mm balloon catheter. This is possibly due to inadequate contact of the probe with the vessel wall. There may also be anincreased tendency towards laser probe perforation following the fracture and dissection which results from balloon dilation.<\/jats:p>","DOI":"10.1002\/ccd.1810200116","type":"journal-article","created":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T19:01:22Z","timestamp":1172775682000},"page":"63-70","source":"Crossref","is-referenced-by-count":2,"title":["Experimental argon laser thermal angioplasty as an adjunct to balloon angioplasty in peripheral arteriosclerotic disease"],"prefix":"10.1002","volume":"20","author":[{"given":"Jack A.","family":"Stroh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy A.","family":"Sanborn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian C.","family":"Haudenschild","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,10,25]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(85)80436-8"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)91498-4"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.1987.avs0050083"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.75.6.1281"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.168.1.2967985"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.RES.57.1.105"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.75.3.636"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.61.4.778"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(84)90744-6"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.68.5.1136"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(86)80320-5"},{"issue":"111","key":"e_1_2_1_13_2","first-page":"111","article-title":"Laser balloon angioplasty: Effect on the carotid lumen in dogs","volume":"72","author":"Serur JR","year":"1986","journal-title":"Circulation"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.76.6.1353"},{"key":"e_1_2_1_15_2","first-page":"330","article-title":"Surface thrombogenicity after excimer laser and hot\u2010tip thermal ablation of plaque: Morphometric studies using an anular perfusion chamber","volume":"38","author":"Prevosti LG","year":"1987","journal-title":"Surg Forum"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.75.1.243"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(85)90411-4"},{"key":"e_1_2_1_18_2","first-page":"111","article-title":"In vivo laser thermal seal of neointimal dissection after balloon angioplasty in rabbit atherosclerosis","volume":"72","author":"Sanborn TA","year":"1985","journal-title":"Circulation"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(87)90487-5"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(82)90486-0"},{"issue":"11","key":"e_1_2_1_21_2","first-page":"331","article-title":"Coronary restenosis rates in a consecutive patient series one year post successful angioplasty","volume":"66","author":"Jutzy HR","year":"1982","journal-title":"Circulation"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(84)90752-5"}],"container-title":["Catheterization and Cardiovascular Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.1810200116","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.1810200116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T19:35:46Z","timestamp":1698003346000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.1810200116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,5]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1990,5]]}},"alternative-id":["10.1002\/ccd.1810200116"],"URL":"https:\/\/doi.org\/10.1002\/ccd.1810200116","archive":["Portico"],"relation":{},"ISSN":["0098-6569","1097-0304"],"issn-type":[{"value":"0098-6569","type":"print"},{"value":"1097-0304","type":"electronic"}],"subject":[],"published":{"date-parts":[[1990,5]]}}}