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- W2045171459 abstract "Purpose: This study evaluated the efficacy of neodymium: yttrium-aluminum- garnet laser welding of flaps in canine arteries and in securing the distal flap during human carotid endarterectomy.Methods: Endarterectomy flaps were created in both common carotid and both common femoral arteries in 12 dogs. The flaps were repaired with either the neodymium:yttrium-aluminum-garnet laser or with 6-0 polypropylene sutures. The arteries were removed after duplex scanning at either 7 or 28 days. Eighteen high carotid endarterectomy flaps in 16 patients have been subsequently secured with the laser welding technique.Results: Laser repairs (125 ± 19 joule) of the canine arteries were completed more quickly than suture repairs (mean 25 seconds vs 135 seconds, respectively; p < 0.04). Duplex ultrasonography revealed no discernable differences between the two groups of arteries. Arteries studied at 7 days revealed three microscopic flaps (two suture, one laser), more subintimal fibroblastic proliferation in suture than laser-repaired carotid arteries (3:1, p = 0.0530), and similar amounts of inflammation in suture- and laser-repaired arteries. Arteries studied at 28 days revealed one microscopic intimal flap (suture-repaired); equal fibroblastic and inflammatory responses in suture- and laser-repaired vessels; and no evidence of laser thermal injury. Eighteen carotid endarterectomy flaps have been successfully fused with no immediate or long-term complications in 16 patients (follow-up of 0 to 24 months).Conclusion: Laser fusion appears to be a safe and effective method for securing distal carotid endarterectomy flaps. (J Vasc Surg 1995;22:32-6.)" @default.
- W2045171459 created "2016-06-24" @default.
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- W2045171459 date "1992-07-01" @default.
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- W2045171459 title "Can laser angioplasty replace carotid endarterectomy in the management of nonstenotic atheromatous disease of the carotid bifurcation?" @default.
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- W2045171459 doi "https://doi.org/10.1016/0090-3019(92)90216-a" @default.
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