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Ann Thorac Surg 1991;51:670-672
© 1991 The Society of Thoracic Surgeons

Articles

Excimer laser angioplasty during aortocoronary bypass grafting

Carlos Blanche, MD*, Jacob Segalowitz, MD, Lawrence S.C. Czer, MD, Scott Wong, MD, Jack M. Matloff, MD

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, and Division of Cardiology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California USA

Accepted for publication October 23, 1990.

* Address reprint requests to Dr Blanche, Cardiothoracic Surgery, Suite 6215, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles CA 90048.

Laser coronary angioplasty using the 308-nm Excimer laser was successfully performed intraoperatively during coronary artery bypass grafting. It achieved a reduction of the left anterior descending artery stenosis from 99% to 25% as seen on angioscopy, without evidence of vascular perforation or intimai disruption. The Excimer laser offers the opportunity for intraoperative endovascular remodeling and recanalization and has a potential role as an adjunct to existing standard coronary artery bypass grafting protocol.






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Copyright © 1991 by The Society of Thoracic Surgeons.