Laser angioplasty of peripheral arteries: basic principles, current clinical studies and future directions
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F19%3A43917717" target="_blank" >RIV/00216208:11120/19:43917717 - isvavai.cz</a>
Result on the web
<a href="https://doi.org/10.5152/dir.2019.18515" target="_blank" >https://doi.org/10.5152/dir.2019.18515</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.5152/dir.2019.18515" target="_blank" >10.5152/dir.2019.18515</a>
Alternative languages
Result language
angličtina
Original language name
Laser angioplasty of peripheral arteries: basic principles, current clinical studies and future directions
Original language description
Percutaneous transluminal angioplasty (PTA) is a routine procedure for the treatment of peripheral arterial disease. However, its main limitation is late restenosis occurring at a 1-year rate of 5-60%. Restenosis arises from injury to the arterial wall including overstretching, compression and rupture of the atherosclerotic plaque during balloon inflation. It is hypothesised that better long-term angioplasty results are observed if atherosclerotic plaques are removed rather than compressed and fractured. Laser angioplasty is one method to remove atherosclerotic plaques. We discuss the principles of lasers, physical properties of laser light, history of laser angioplasty and effects of laser radiation on tissues. Large clinical studies using laser angioplasty are critically assessed. In comparison to conventional PTA, there are some advantages of laser angioplasty: easier passing of chronic and calcified occlusions and according to some studies, better short- and medium-term results regarding limb salvage and management of in-stent restenoses. The main drawback of laser angioplasty is that current laser catheters are not able to create a sufficiently wide channel in the occlusion, meaning that adjunctive balloon dilatation is still required. Thus, long-term data may be misleading. Basic and applied research should continue to focus on enlargement of plaque ablation.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2019
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Diagnostic and Interventional Radiology
ISSN
1305-3825
e-ISSN
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Volume of the periodical
25
Issue of the periodical within the volume
5
Country of publishing house
TR - TURKEY
Number of pages
6
Pages from-to
392-397
UT code for WoS article
000484265700009
EID of the result in the Scopus database
2-s2.0-85071785330