Excimer laser assisted angioplasty for complex infrainguinal peripheral artery disease: A 2008 update

J. W C Tan, K. K. Yeo, John R. Laird

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Conventional percutaneous transluminal angioplasty (PTA) for complex or long segment infrainguinal occlusive arterial disease is limited by elastic recoil, dissection and restenosis, with high rates of intermediate and long term restenosis. Debulking with excimer laser has been advocated as a useful adjunctive strategy to improve procedural success and long term patency. This paper reviews the technological development of excimer laser, the studies supporting its use in infrainguinal arterial disease, effective and safe lasing techniques, its advantages, limitations and disadvantages, case examples will be presented to illustrate its use in infrainguinal arterial disease. Although randomized controlled trials are lacking, existing registry and case series studies suggest efficacy of the excimer laser-assisted PTA for complex infrainguinal arterial disease, including patients with critical limb ischemia.

Original languageEnglish (US)
Pages (from-to)329-340
Number of pages12
JournalJournal of Cardiovascular Surgery
Volume49
Issue number3
StatePublished - Jun 2008

Keywords

  • Angioplasty
  • Lasers
  • Peripheral vascular diseases

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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