Document Detail


Thermodynamic correlates of hot tip laser angioplasty.
MedLine Citation:
PMID:  3440729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surface temperatures of normal human cadaver arteries and polytetrofluoroethylene grafts were measured in vitro using thermography to assess vascular wall heating from the metal-capped ("hot tip") laser probe. Laser pulse duration, vessel diameter, blood flow, and saline infusion were varied; power from an Argon laser was constant at 10 watts. The surface temperatures resulting in perforation were 76.2 +/- 2.2 degrees C for arteries and 90.4 +/- 2.1 degrees C for grafts. Blood flow provided an effective heat sink reducing artery and graft wall peak temperatures from 10 watt/5 sec pulses by 12.2 +/- 1.7 and 14.1 +/- 6.1 degrees C at 100 mL/min, and by 16.3 +/- 2.4 and 22.4 +/- 4.9 degrees C at 500 mL/min, respectively. In the occluded conduit, inflow of saline proximal to the probe tip reduced peak temperatures (degrees C) from 10 watt/5 sec pulses as follows: 14.0 +/- 3.2 (artery) and 23.2 +/- 8.5 (graft) at 50 mL/min, and 19.0 +/- 0.6 (artery) and 26.6 +/- 8.5 (graft) at 100 mL/min. Radial heating by the hot tip probe can cause thermal perforation. Blood flow or saline infusion modifies nontarget heating and may offer significant protection to the vasculature.
Authors:
J D Labs; R I White; J H Anderson; G M Williams
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Investigative radiology     Volume:  22     ISSN:  0020-9996     ISO Abbreviation:  Invest Radiol     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-04-14     Completed Date:  1988-04-14     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0045377     Medline TA:  Invest Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  954-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Johns Hopkins Hospital, Baltimore, Maryland 21205.
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MeSH Terms
Descriptor/Qualifier:
Arteriosclerosis / surgery
Blood Vessel Prosthesis
Cadaver
Humans
Laser Therapy*
Polytetrafluoroethylene
Thermodynamics*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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