Definition: https://classes.abrazohealth.com/upload/images/CVHealthTopics/tur bo%20laser.png In a laser assisted angioplasty, a laser-tipped catheter is used instead of a balloon catheter. The laser is guided to the blockage that is the source of all problems and then used to eliminate the plaque by vaporizing it into particles. Usually, laser assisted angioplasty is done because it needs to widen the arteries of the heart that have been blocked or completely narrowed by blood clots or deposits of plaque. (Laser Angioplasty Surgery Facts, 2011)
Procedure:A thin, flexible fibre-optic catheter connected to a laser-generating source outside the body is introduced via the femoral artery. The catheter is advanced over a guide-wire through the artery to the blockage http://im.glogster.com/media/13/37/70/36/37703622.jpg in the coronary artery, under fluoroscopic guidance.
Procedure Continued: The tip of the catheter system emits pulses of laser light to vaporise the plaque while being slowly advanced across the lesion. This procedure is often used with adjunctive balloon angioplasty and followed by angiography to document the results. http://i.ytimg.com/vi/Hgwtev-XW2Y/0.jpg (Campbell, 2011)
Risks: there is a risk of coronary arteries perforation or heart attack. Patients must be monitored for hematoma (bruising) or hemorrhage (bleeding) at the puncture site. May have allergic reaction to dyes administered during the procedure. The procedure also carries risk of damage to the nearby blood vessels and heart valves. In some cases re-narrowing of the arteries is possible.
http://www.discoveriesinmedicine.com/images/mdis_0 Advantages:000_0001_0_img0017.jpg is removal of the blockage from the arteries. It is effective in both, partial or total removal of the plaques from the affected blood vessels. blood flow in the particular blood vessel is improved. is also good for prevention of heart attack. The procedure carries less risk comparing to open heart surgery.
Disadvantages: equipment needed for performing the surgery presents high costs. its application is restricted to specific cases http://medicinemound.com/wp-content/uploads/2010/06/The-Job-of- a-Doctor.jpg
Conclusions:I think that with time, this will be the most common way to fix blockages, it will just take money and upgrading to get to the point. Every surgery has risks, the benefits of laser angioplasty definitely outweigh the risks and if ever necessary, I would have this procedure performed on myself
References: Mosbys Medical Dictionary, 8th edition. (2009). Retrieved July 17, 2012, from Farlex Inc.: http://medical- dictionary.thefreedictionary.com/laser+angioplasty Angioplasty Pros and Cons. (2010, December 27). Retrieved July 17, 2012, from Steady Health: http://ic.steadyhealth.com/angioplasty_pros_and_c ons.html Laser Angioplasty Surgery Facts. (2011). Retrieved July 17, 2012, from Angioplasty Surgery Facts : http://angioplastysurgery.net/laser.php
References: Campbell, B. (2011, January 24). Percutaneous Laser Coronary Angioplasty. Retrieved July 17, 2012, from National Institute for Health and Clinical Excellence: http://guidance.nice.org.uk/IPG378/DraftNIC EGuidance Skolkin, M. a. (2009). Laser-Assisted Angioplasty A Radiologists Perspective. Retrieved July 17, 2012, from PubMed: http://www.ncbi.nlm.nih.gov/pmc/articles/P MC324880/