Valvulotomy in in situ vein bypasses performed by angioscope-assisted laser probe

Rodney A. White*, George Kopchok, Carlos Donayre, Geoffrey White, Roy Fujitani, Stanley R. Klein, John Crew

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    7 Citations (Scopus)

    Abstract

    The objective of this study was to evaluate the use of an angioscope-assisted laser hot-tip probe for performing valvulotomies in in situ nonreversed canine veins used for arterial bypasses. In Group 1, 9 valvulotomies were performed in 7 bypass veins with a 2-mm probe activated by 12 W power, resulting in 4 vein perforations, 1 vein thrombosis, and 4 in situ grafts patent at removal after 2-28 days. In Group 2, 10 valvulotomies in 9 bypass veins were performed with a 1.5-mm probe at 14 W with no vein perforations, 3 vein thromboses, and 6 in situ grafts patent at removal after an interval of 1 to 6 weeks. We conclude that valvulotomy within in situ vein bypasses can be successfully performed using a 1.5-mm laser hot-tip probe at 14 W power, with patency of the grafts demonstrated at 6 weeks. Angioscope-assisted laser valvulotomy using a laser probe may significantly reduce the length of incisions and the time required for in situ vein bypasses and improve the technical accuracy of the procedure.

    Original languageEnglish
    Pages (from-to)440-445
    Number of pages6
    JournalJournal of Surgical Research
    Volume42
    Issue number4
    DOIs
    Publication statusPublished - 1987

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