Extraluminal laser angioplasty (ELAN): a new method for treating atherosclerotic vessels

Research output: Chapter in book/report/conference proceedingConference contributionResearchpeer review

Authors

  • G. Fabian Will
  • Ajoy Singh
  • Wolfgang Ertmer
  • Herbert Welling
  • Holger Lubatschowski

Research Organisations

External Research Organisations

  • Laser Zentrum Hannover e.V. (LZH)
  • Union Park
View graph of relations

Details

Original languageEnglish
Title of host publicationLasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIII
PublisherSPIE
Pages477-487
Number of pages11
Publication statusPublished - 12 Sept 2003
EventBiomedical Optics - San Jose, CA, United States
Duration: 25 Jan 200331 Jan 2003

Publication series

NameProceedings of SPIE - The International Society for Optical Engineering
Volume4949
ISSN (Print)0277-786X

Abstract

ELAN is a new method for treating atherosclerotic vessels. Its purpose is to restore wall flexibility by removing arterial wall tissue from the outer arterial layer. This leads to expansion of the narrowed vessel resulting in increased blood flow. We generated cuts in dissected arteries of sheep and pigs by photo-ablation with an ArF-Excimer Laser operating at a wavelength of 193 nm. During the cutting process the vessel diameter was monitored by measuring the running time of the laser induced pressure transients with a pressure transducer lying under the artery. A nearly linear increase of the diameter dependent on the residual wall thickness was found with a maximum increase of vessel diameter about 10 %. We also observed that the arterial wall maintains stable to very small residual wall thicknesses i.e. deep cutting. To support the experiments and to test different geometries of tissue removal we performed FEM-Analysis. We simulated vessel deformation and the total strain depending on the depth, width and number of cuts in the outer arterial wall. We also found a significant increase of the "lumen" in a model with atherosclerotic shape obtained from a histological section.

Keywords

    Atherosclerosis, ELAN, Excimer laser, FEM

ASJC Scopus subject areas

Cite this

Extraluminal laser angioplasty (ELAN): a new method for treating atherosclerotic vessels. / Fabian Will, G.; Singh, Ajoy; Ertmer, Wolfgang et al.
Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIII. SPIE, 2003. p. 477-487 (Proceedings of SPIE - The International Society for Optical Engineering; Vol. 4949).

Research output: Chapter in book/report/conference proceedingConference contributionResearchpeer review

Fabian Will, G, Singh, A, Ertmer, W, Welling, H & Lubatschowski, H 2003, Extraluminal laser angioplasty (ELAN): a new method for treating atherosclerotic vessels. in Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIII. Proceedings of SPIE - The International Society for Optical Engineering, vol. 4949, SPIE, pp. 477-487, Biomedical Optics, San Jose, CA, United States, 25 Jan 2003. https://doi.org/10.1117/12.476269
Fabian Will, G., Singh, A., Ertmer, W., Welling, H., & Lubatschowski, H. (2003). Extraluminal laser angioplasty (ELAN): a new method for treating atherosclerotic vessels. In Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIII (pp. 477-487). (Proceedings of SPIE - The International Society for Optical Engineering; Vol. 4949). SPIE. https://doi.org/10.1117/12.476269
Fabian Will G, Singh A, Ertmer W, Welling H, Lubatschowski H. Extraluminal laser angioplasty (ELAN): a new method for treating atherosclerotic vessels. In Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIII. SPIE. 2003. p. 477-487. (Proceedings of SPIE - The International Society for Optical Engineering). doi: 10.1117/12.476269
Fabian Will, G. ; Singh, Ajoy ; Ertmer, Wolfgang et al. / Extraluminal laser angioplasty (ELAN): a new method for treating atherosclerotic vessels. Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIII. SPIE, 2003. pp. 477-487 (Proceedings of SPIE - The International Society for Optical Engineering).
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