Excimer laser catheter for pacing lead removal

Christopher Reiser; Kevin D. Taylor

doi:10.1117/12.275027

22 May 1997 Excimer laser catheter for pacing lead removal

Christopher Reiser, Kevin D. Taylor

Proceedings Volume 2970, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII; (1997) https://doi.org/10.1117/12.275027
Event: BiOS '97, Part of Photonics West, 1997, San Jose, CA, United States

Abstract

A novel laser catheter design has been utilized to assist in the removal of chronically implanted pacing leads. The catheter, or 'laser sheath,' uses fiber optics to convey pulsed 308 nm light from a CVX-300 XeCl excimer laser to the distal tip of the catheter. As the catheter is threaded over an implanted pacing lead, into the patient's vasculature, lasing action can be used to cut through fibrotic adhesions that typically overgrow the lead, making lead removal difficult. In a randomized clinical trial, greater than 300 patients have been treated with the laser sheath, with no complications secondary to the use of the laser. Leads were totally removed in nearly all laser cases. Design features of the laser sheath that contribute to its clinical success are discussed.

Citation Download Citation

Christopher Reiser and Kevin D. Taylor "Excimer laser catheter for pacing lead removal", Proc. SPIE 2970, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII, (22 May 1997); https://doi.org/10.1117/12.275027

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