Full Description
Since the introduction of laser devices to the medical sciences this technology has created great interest. Specifically, the laser's unique physical properties and precise bio-tissue interactions render this versatile source of biologic energy an attractive tool for multiple therapeutic purposes in cardiovascular medicine.
Over the course of the last 2 decades the utilization of laser technology has become an important component for the management of patients with complex cardiovascular diseases. During this time period, cutting edge laser technology including a variety of wave length generators,
newly designed catheters, and a selection of advanced optic fibers
have been introduced and applied in the cardiovascular circulation.
Improved lasing techniques in the cardiac catheterization suites and operation rooms have been implemented for treatment of ischemic coronary syndromes, peripheral arterial occlusive disease and other atherosclerotic thrombotic conditions. Moreover, duringthis 20 year time frame, several multicenter and single center clinical studies have been published focusing on the role and utilization of lasers in coronary and peripheral revascularization. And within the rapidly expanding field of interventional cardiac electrophysiology, laser technology has recently revolutionized the management of fractured, abandoned and malfunctioning leads of cardiac pacemakers and automatic defibrillators. Consequently, replacing a notoriously cumbersome and high risk open heart surgery with safe and markedly efficient percutaneous laser based extraction.
This textbook will provide the most authoritative, comprehensive and
contemporary information covering technological progress, clinical experience and pertinent aspects of laser applications in cardiovascular medicine. It will be of interest to cardiologists, vascular
surgeons and interventional radiologist as well as medical students, scientists, biomedical engineering students and graduates.
Contents
Preface.- Laser physics and laser sources for
cardiovascular applications.- Optic fibers and mechanical properties of laser
catheters.- Landmarks along the introduction of laser to cardiovascular therapy.-
Laser-thrombus interaction: from basic
research to clinical utilization in the management of cardiovascular diseases.-
Laser for treatment of acute coronary syndromes.- Laser for management of ST-elevation
acute myocardial infarction.- Laser for revascularization of complex targets:
old SVGs, CTO, left main disease, stent restenosis.- Laser utilization for
synergistic technology strategy for
coronary revascularization: laser and
directional rotablation; laser combined with drug eluting balloon.- Laser for
revascularization of peripheral arterial
disease- SFA, renal, subclavian, carotid arteries.- Laser for infra-popliteal revasculariztion.- TMR- physiology, pathology and basic research
concepts.- TMR-endovascular and surgical techniques and
clinical outcomes.- Laser applicationfor venous thrombosis.- Laser for IVC
filter removal.- Laser for interventional electrophysiology - extraction and
removal of pacemaker and AICD leads.- Laser for treatment of cardiac
arrhythmias.- Laser application for treatment of congenital heart disease.- Nursing
perspectives of cardiovascular laser procedures.- Laser safety in the
cardiovascular suite and the operation
room.- Laser induced cardiovascular complications : mechanisms, recognition and
management.- Laser in cardiovascular veterinary medicine.
