| 25 years of laser assisted vascular anastomosis (LAVA): what have we learned? | |
| | |
MedLine Citation:
|
PMID: 15079768 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: Laser assisted vascular anastomosis (LAVA) has been developed to a stage where clinical use is within reach. Advantages of LAVA are minimal vessel damage, faster operation and the potential for minimally invasive application. DESIGN: A Medline literature search was performed on vessel welding combined with cross-referencing. RESULTS: Four different lasers have mostly been used for LAVA, always in combination with stay sutures. The CO(2) laser has only been used in the early period. Without solder, mean leaking point pressures (LPP) of 754 mmHg (n=75) were obtained, only slightly lower than in suture controls (LPP=915 mmHg, n=82). At follow-up the percentage of aneurysms was high (overall 12% in n=486). Although Argon LAVA showed moderate success (LPP=146 mmHg, n=125), the first clinical application has been successfully performed. Diode LAVA in combination with solder and dye resulted in an acceptable LPP of 409 mmHg (n=163) in larger vessels, with a low incidence of aneurysm formation (1% in n=107). CONCLUSION: At present the diode laser is the most popular. Solder developments resulted in stronger welds and might make stay sutures redundant. The combination of CO(2) laser and solders has not been evaluated and deserves further investigation. |
| | |
Authors:
|
I C D Y M Wolf-de Jonge; J F Beek; R Balm |
Related Documents
:
|
8911418 - Aneurysms of anomalous splenomesenteric trunk: clinical features and surgical managemen... 9420748 - Comparison of tomographic and planar radionuclide ventriculography in the assessment of... 674628 - Nonsurgical treatment of splenic-artery aneurysms. 20334498 - Transcatheter coil embolization of an aneurysm of an anomalous splenic artery: usefulne... 17092738 - A modified ross operation to prevent pulmonary autograft dilatation. 12042988 - Early experience and midterm follow-up results with a new, rotational thrombectomy cath... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 27 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2004 May |
Date Detail:
|
Created Date: 2004-04-13 Completed Date: 2004-06-10 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
|
Languages: eng Pagination: 466-76 Citation Subset: IM |
Affiliation:
|
Department of Vascular Surgery, Academic Medical Centre, Amsterdam, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anastomosis, Surgical
/
methods Humans Laser Therapy / methods* Surgical Procedures, Minimally Invasive Suture Techniques Vascular Patency Vascular Surgical Procedures / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Aspirin resistance in cardiovascular disease: a review.
Next Document: Treatment of short-necked infrarenal aortic aneurysms with fenestrated stent-grafts: short-term resu...