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Laser thermal-assisted balloon angioplasty (LABA) was prospectively applied in the
treatment of 56 atherosclerotic femoropopliteal occlusive lesions in 51 consecutive
patients. All procedures were performed in the operating room using a neodynium:yttrium-aluminum-garnet
(Nd:YAG) laser source, and patients were evaluated for immediate and long-term hemodynamic
and clinical improvement. Technically successful recanalization was achieved in 82%
of cases, with 57% of all patients (32 of 56) obtaining early hemodynamic and clinical
improvement. Long-term clinical success (by life-table analysis) was obtained by only
22.5% at 6 months, and only 13.5% at 12 months. Patients presenting with intermittent
claudication did significantly better than those presenting for limb salvage (p=0.01),
and trends toward improved outcome were noted for short versus long lesions as well
as for patients with “good” versus “poor” distal run-off (NS). Procedure-related morbidity
occurred in 14%, and there was one peri-procedural mortality (1.8%). We conclude that
the use of LABA is associated with long-term clinical success in only a small proportion
of patients, and that widespread clinical application of this technique is not indicated
at the present time.
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Article info
Footnotes
2Presented at the 18th Annual Meeting of the Society for Clinical Vascular Surgery, Palm Desert, California, March 7–11, 1990.
Identification
Copyright
© 1990 Reed Publishing USA. Published by Elsevier Inc.
