1 July 1990 Intraluminal ultrasound guidance of transverse laser coronary atherectomy
Author Affiliations +
Proceedings Volume 1201, Optical Fibers in Medicine V; (1990) https://doi.org/10.1117/12.17520
Event: OE/LASE '90, 1990, Los Angeles, CA, United States
A coronary laser atherectomy system combining laser delivery and ultrasonic imaging capability is described. The system is being developed by Intra-Sonix, Inc. to treat severe stenoses. The imaging system provides the clinician with the guidance needed to remove substantial plaque without perforation. The ultrasound transducers and laser optics are mounted in a small (less than 4 F), flexible catheter, that is deliverable over a standard guidewire (0.016 inch). The laser and ultrasound beams are directed at the artery wall to permit debulking of lesions and ultrasonic depth profiling of the tissue structure throughout the thickness of the artery. This allows the physician to determine the level of therapy to be applied and to monitor the plaque removal as the therapy progresses. The precise location of the ultrasound and laser beams in the artery is determined by a navigation system. Navigation data are processed electronically in conjunction with ultrasound data to produce real-time cross-sectional and longitudinal images of the artery wall at selected locations, which are updated as the catheter progresses through the vessel lumen. Results of in vitro tests on human atherosclerotic arteries and early in vivo experiments in a canine-human xenograft model showing image construction and radial laser delivery are discussed.
© (1990) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
H. Thomas Aretz, H. Thomas Aretz, Michael A. Martinelli, Michael A. Martinelli, Earl G. LeDet, Earl G. LeDet, Tomas Sedlacek, Tomas Sedlacek, G. Frederick Hatch, G. Frederick Hatch, Richard E. Gregg, Richard E. Gregg, } "Intraluminal ultrasound guidance of transverse laser coronary atherectomy", Proc. SPIE 1201, Optical Fibers in Medicine V, (1 July 1990); doi: 10.1117/12.17520; https://doi.org/10.1117/12.17520

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