Dye-enhanced laser tissue welding

For vascular anastomosis, use of topical photosensitizing dye enhances selective delivery of laser energy to target tissue, thus reducing the amount of collateral thermal injury and threshold power required for welding. For fluorescein isothiocyanate (FITC)—stained rabbit aorta in vitro, the thresho...

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Veröffentlicht in:Lasers in surgery and medicine 1989, Vol.9 (5), p.471-477
Hauptverfasser: Chuck, Roy S., Oz, Mehmet C., Delohery, Thomas M., Johnson, Jeffrey P., Bass, Lawrence S., Nowygrod, Roman, Treat, Michael R.
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container_end_page 477
container_issue 5
container_start_page 471
container_title Lasers in surgery and medicine
container_volume 9
creator Chuck, Roy S.
Oz, Mehmet C.
Delohery, Thomas M.
Johnson, Jeffrey P.
Bass, Lawrence S.
Nowygrod, Roman
Treat, Michael R.
description For vascular anastomosis, use of topical photosensitizing dye enhances selective delivery of laser energy to target tissue, thus reducing the amount of collateral thermal injury and threshold power required for welding. For fluorescein isothiocyanate (FITC)—stained rabbit aorta in vitro, the threshold for tissue blanching was 15 seconds of 100 mW exposure of cw argon ion laser compared with 15 seconds at 300 mW for unstained tissue. The threshold power density needed for argon laser welding of abdominal aortotomies in rabbits in vivo was 3.8 W/cm2 with FITC and 7.6 W/cm2 without the dye. However, bursting pressures for the two groups (164 mm Hg with FITC, 147 mm Hg without FITC) were not significantly different. Histology revealed decreased collateral thermal damage in FITC‐enhanced welds. Use of photosensitizing dyes for tissue welding is feasible and may allow arterial welding with lower power laser systems and cause less thermal trauma by lowering threshold power levels.
doi_str_mv 10.1002/lsm.1900090508
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For fluorescein isothiocyanate (FITC)—stained rabbit aorta in vitro, the threshold for tissue blanching was 15 seconds of 100 mW exposure of cw argon ion laser compared with 15 seconds at 300 mW for unstained tissue. The threshold power density needed for argon laser welding of abdominal aortotomies in rabbits in vivo was 3.8 W/cm2 with FITC and 7.6 W/cm2 without the dye. However, bursting pressures for the two groups (164 mm Hg with FITC, 147 mm Hg without FITC) were not significantly different. Histology revealed decreased collateral thermal damage in FITC‐enhanced welds. Use of photosensitizing dyes for tissue welding is feasible and may allow arterial welding with lower power laser systems and cause less thermal trauma by lowering threshold power levels.</description><identifier>ISSN: 0196-8092</identifier><identifier>EISSN: 1096-9101</identifier><identifier>DOI: 10.1002/lsm.1900090508</identifier><identifier>PMID: 2478852</identifier><identifier>CODEN: LSMEDI</identifier><language>eng</language><publisher>New York: John Wiley &amp; Sons, Inc</publisher><subject>anastomosis ; Animals ; Aorta, Abdominal - surgery ; Argon ; argon ion laser ; Biological and medical sciences ; dye ; fluorescein ; Fluorescein-5-isothiocyanate ; Fluoresceins - therapeutic use ; In Vitro Techniques ; Intraoperative Care ; Laser Therapy - methods ; Medical sciences ; photosensitizer ; Rabbits ; Staining and Labeling - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Suture Techniques ; Tensile Strength ; Thiocyanates - therapeutic use ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels ; Vascular Surgical Procedures - methods ; Welding - methods</subject><ispartof>Lasers in surgery and medicine, 1989, Vol.9 (5), p.471-477</ispartof><rights>Copyright © 1989 Wiley‐Liss, Inc., A Wiley Company</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4748-badd9e3bfb25753c85b0e40ade0d0e7938f85f2bec1dc3071da1d615259825e23</citedby><cites>FETCH-LOGICAL-c4748-badd9e3bfb25753c85b0e40ade0d0e7938f85f2bec1dc3071da1d615259825e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flsm.1900090508$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flsm.1900090508$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,4010,27900,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=19572525$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2478852$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chuck, Roy S.</creatorcontrib><creatorcontrib>Oz, Mehmet C.</creatorcontrib><creatorcontrib>Delohery, Thomas M.</creatorcontrib><creatorcontrib>Johnson, Jeffrey P.</creatorcontrib><creatorcontrib>Bass, Lawrence S.</creatorcontrib><creatorcontrib>Nowygrod, Roman</creatorcontrib><creatorcontrib>Treat, Michael R.</creatorcontrib><title>Dye-enhanced laser tissue welding</title><title>Lasers in surgery and medicine</title><addtitle>Lasers Surg. Med</addtitle><description>For vascular anastomosis, use of topical photosensitizing dye enhances selective delivery of laser energy to target tissue, thus reducing the amount of collateral thermal injury and threshold power required for welding. For fluorescein isothiocyanate (FITC)—stained rabbit aorta in vitro, the threshold for tissue blanching was 15 seconds of 100 mW exposure of cw argon ion laser compared with 15 seconds at 300 mW for unstained tissue. The threshold power density needed for argon laser welding of abdominal aortotomies in rabbits in vivo was 3.8 W/cm2 with FITC and 7.6 W/cm2 without the dye. However, bursting pressures for the two groups (164 mm Hg with FITC, 147 mm Hg without FITC) were not significantly different. Histology revealed decreased collateral thermal damage in FITC‐enhanced welds. Use of photosensitizing dyes for tissue welding is feasible and may allow arterial welding with lower power laser systems and cause less thermal trauma by lowering threshold power levels.</description><subject>anastomosis</subject><subject>Animals</subject><subject>Aorta, Abdominal - surgery</subject><subject>Argon</subject><subject>argon ion laser</subject><subject>Biological and medical sciences</subject><subject>dye</subject><subject>fluorescein</subject><subject>Fluorescein-5-isothiocyanate</subject><subject>Fluoresceins - therapeutic use</subject><subject>In Vitro Techniques</subject><subject>Intraoperative Care</subject><subject>Laser Therapy - methods</subject><subject>Medical sciences</subject><subject>photosensitizer</subject><subject>Rabbits</subject><subject>Staining and Labeling - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Suture Techniques</subject><subject>Tensile Strength</subject><subject>Thiocyanates - therapeutic use</subject><subject>Vascular surgery: aorta, extremities, vena cava. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Suture Techniques</topic><topic>Tensile Strength</topic><topic>Thiocyanates - therapeutic use</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><topic>Vascular Surgical Procedures - methods</topic><topic>Welding - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chuck, Roy S.</creatorcontrib><creatorcontrib>Oz, Mehmet C.</creatorcontrib><creatorcontrib>Delohery, Thomas M.</creatorcontrib><creatorcontrib>Johnson, Jeffrey P.</creatorcontrib><creatorcontrib>Bass, Lawrence S.</creatorcontrib><creatorcontrib>Nowygrod, Roman</creatorcontrib><creatorcontrib>Treat, Michael R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Lasers in surgery and medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chuck, Roy S.</au><au>Oz, Mehmet C.</au><au>Delohery, Thomas M.</au><au>Johnson, Jeffrey P.</au><au>Bass, Lawrence S.</au><au>Nowygrod, Roman</au><au>Treat, Michael R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dye-enhanced laser tissue welding</atitle><jtitle>Lasers in surgery and medicine</jtitle><addtitle>Lasers Surg. 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subjects anastomosis
Animals
Aorta, Abdominal - surgery
Argon
argon ion laser
Biological and medical sciences
dye
fluorescein
Fluorescein-5-isothiocyanate
Fluoresceins - therapeutic use
In Vitro Techniques
Intraoperative Care
Laser Therapy - methods
Medical sciences
photosensitizer
Rabbits
Staining and Labeling - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Suture Techniques
Tensile Strength
Thiocyanates - therapeutic use
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vascular Surgical Procedures - methods
Welding - methods
title Dye-enhanced laser tissue welding
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