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Laser
                                                      Angioplasty
                                                   A Technological Advancement
                                                        in the Medical Field

http://www.socalcardiology.com/intervention.html        By: Christina Knott
Agenda:
 Definition
 Procedure
 Risks
 Advantages
 Disadvantages
 Conclusions
 References
                  http://z.about.com/d/p/440/e/f/7110.jpg
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:
   Mosby's 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 Radiologist's Perspective.
    Retrieved July 17, 2012, from PubMed:
    http://www.ncbi.nlm.nih.gov/pmc/articles/P
    MC324880/

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Media presentation assignment tina knott

  • 1. Laser Angioplasty A Technological Advancement in the Medical Field http://www.socalcardiology.com/intervention.html By: Christina Knott
  • 2. Agenda:  Definition  Procedure  Risks  Advantages  Disadvantages  Conclusions  References http://z.about.com/d/p/440/e/f/7110.jpg
  • 3. 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)
  • 4. 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.
  • 5. 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)
  • 6. 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.
  • 7. 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.
  • 8. 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
  • 9. 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
  • 10. References:  Mosby's 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
  • 11. 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 Radiologist's Perspective. Retrieved July 17, 2012, from PubMed: http://www.ncbi.nlm.nih.gov/pmc/articles/P MC324880/