Laser scoop desobliteration: a method for minimally invasive remote recanalization of chronically occluded superficial femoral arteries.

Abstract:

:Stenosis and occlusion of the superficial femoral artery (SFA) are most common in arterial occlusive disease. There are numerous interventional, surgical, and combined approaches to reconstitute maximum blood supply to the lower limb; however, despite intense clinical research, the long-term success rates are still poor. We present the first results with a catheter prototype for laser-based minimal invasive endarterectomy, called laser scoop desobliteration (LSD). The tip of a glass fiber containing a catheter was modified with a spatula head design and connected to an ultraviolet laser. It was tested in cadavers fixed with the Thiel embalming technique preserving tissue consistency, flexibility, and plasticity. After longitudinal arteriotomy of the SFA, a circular dissection between media and adventitia was performed. Then the LSD catheter was inserted and propagated with a progress of 1 mm∕s. Afterward, the atheroma core, which showed a plain surface without substantial attaching tissue debris, was removed. Histological examination of the vessel wall showed that the dissection was performed at the media/adventitia interface. In summary, the constructed LSD catheter allowed a rapid and easy way to perform an endarterectomy, thereby offering an innovative approach in the treatment of chronic occluded SFA.

journal_name

J Biomed Opt

authors

Heneweer C,Siggelkow M,Helle M,Petzina R,Wulff A,Schaefer JP,Berndt R,Rusch R,Wedel T,Klaws G,Müller-Gerbl M,Röcken C,Jansen O,Lutter G,Cremer J,Groß J

doi

10.1117/1.JBO.20.2.025005

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

25005

issue

2

eissn

1083-3668

issn

1560-2281

pii

2169283

journal_volume

20

pub_type

杂志文章
  • Application of functional data analysis in classification and clustering of functional near-infrared spectroscopy signal in response to noxious stimuli.

    abstract::We introduce the application of functional data analysis (fDA) on functional near-infrared spectroscopy (fNIRS) signals for the development of an accurate and clinically practical assessment method of pain perception. We used the cold pressor test to induce different levels of pain in healthy subjects while the fNIRS ...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.21.10.101411

    authors: Pourshoghi A,Zakeri I,Pourrezaei K

    更新日期:2016-10-01 00:00:00

  • Blood oxygen flux estimation with a combined photoacoustic and high-frequency ultrasound microscopy system: a phantom study.

    abstract::The metabolic rate of oxygen consumption, an important indicator of tissue metabolism, can be expressed as the change of net blood oxygen flux into and out of a tissue region per 100 g of tissue. In this work, we propose a photoacoustic and Doppler ultrasound method for imaging local blood oxygen flux of a single vess...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.17.3.036012

    authors: Jiang Y,Forbrich A,Harrison T,Zemp RJ

    更新日期:2012-03-01 00:00:00

  • Propagation of coherent polarized light in turbid highly scattering medium.

    abstract::Within the framework of further development of unified Monte Carlo code for the needs of biomedical optics and biophotonics, we present an approach for modeling of coherent polarized light propagation in highly scattering turbid media, such as biological tissues. The temporal coherence of light, linear and circular po...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.19.2.025005

    authors: Doronin A,Macdonald C,Meglinski I

    更新日期:2014-02-01 00:00:00

  • Quantitative phase microscopy of articular chondrocyte dynamics by wide-field digital interferometry.

    abstract::We experimentally implement label-free phase microscopy using wide-field digital interferometry (WFDI) techniques to retrieve quantitative volumetric data of articular chondrocyte dynamics. Using the scanless interferometric system, we visualize chondrocyte swelling and bursting induced by hypo-osmotic pressure. Recon...

    journal_title:Journal of biomedical optics

    pub_type: 信件

    doi:10.1117/1.3290242

    authors: Shaked NT,Finan JD,Guilak F,Wax A

    更新日期:2010-01-01 00:00:00

  • Model-based spectroscopic analysis of the oral cavity: impact of anatomy.

    abstract::In order to evaluate the impact of anatomy on the spectral properties of oral tissue, we used reflectance and fluorescence spectroscopy to characterize nine different anatomic sites. All spectra were collected in vivo from healthy oral mucosa. We analyzed 710 spectra collected from the oral cavity of 79 healthy volunt...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.2992139

    authors: McGee S,Mirkovic J,Mardirossian V,Elackattu A,Yu CC,Kabani S,Gallagher G,Pistey R,Galindo L,Badizadegan K,Wang Z,Dasari R,Feld MS,Grillone G

    更新日期:2008-11-01 00:00:00

  • Noninvasive measurement of glucose concentration on human fingertip by optical coherence tomography.

    abstract::A method is proposed for determining the glucose concentration on the human fingertip by extracting two optical parameters, namely the optical rotation angle and the depolarization index, using a Mueller optical coherence tomography technique and a genetic algorithm. The feasibility of the proposed method is demonstra...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.23.4.047001

    authors: Chen TL,Lo YL,Liao CC,Phan QH

    更新日期:2018-04-01 00:00:00

  • Integration of a Raman spectroscopy system to a robotic-assisted surgical system for real-time tissue characterization during radical prostatectomy procedures.

    abstract::Surgical excision of the whole prostate through a radical prostatectomy procedure is part of the standard of care for prostate cancer. Positive surgical margins (cancer cells having spread into surrounding nonresected tissue) occur in as many as 1 in 5 cases and strongly correlate with disease recurrence and the requi...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.24.2.025001

    authors: Pinto M,Zorn KC,Tremblay JP,Desroches J,Dallaire F,Aubertin K,Marple E,Kent C,Leblond F,Trudel D,Lesage F

    更新日期:2019-02-01 00:00:00

  • Spatially resolved reflectance spectroscopy for diagnosis of cervical precancer: Monte Carlo modeling and comparison to clinical measurements.

    abstract::We present Monte Carlo modeling studies to provide a quantitative understanding of contrast observed in spatially resolved reflectance spectra of normal and highly dysplastic cervical tissue. Simulations have been carried out to analyze the sensitivity of spectral measurements to a range of changes in epithelial and s...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.2398932

    authors: Arifler D,MacAulay C,Follen M,Richards-Kortum R

    更新日期:2006-11-01 00:00:00

  • Practicability and safety of laser-assisted reduction surgery.

    abstract::We have presented an innovative laser-assisted reduction surgery (LARS) based on plasma-induced ablation and photodisruption effects. In addition, we developed a laser operation system. Fetuses of mice from the Institute for Cancer Research that were immersed in physiological saline were irradiated by convergent-pulse...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.18.11.118002

    authors: Wang Y,Xiong Q,Ye Z,Ge J

    更新日期:2013-11-01 00:00:00

  • High temperature heat source generation with quasi-continuous wave semiconductor lasers at power levels of 6 W for medical use.

    abstract::We investigate a technology to create a high temperature heat source on the tip surface of the glass fiber proposed for medical surgery applications. Using 4 to 6 W power level semiconductor lasers at a wavelength of 980 nm, a laser coupled fiber tip was preprocessed to contain a certain amount of titanium oxide powde...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.19.10.101502

    authors: Fujimoto T,Imai Y,Tei K,Ito S,Kanazawa H,Yamaguchi S

    更新日期:2014-01-01 00:00:00

  • Optical coherence tomography today: speed, contrast, and multimodality.

    abstract::In the last 25 years, optical coherence tomography (OCT) has advanced to be one of the most innovative and most successful translational optical imaging techniques, achieving substantial economic impact as well as clinical acceptance. This is largely owing to the resolution improvements by a factor of 10 to the submic...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章,评审

    doi:10.1117/1.JBO.19.7.071412

    authors: Drexler W,Liu M,Kumar A,Kamali T,Unterhuber A,Leitgeb RA

    更新日期:2014-01-01 00:00:00

  • Review of tissue simulating phantoms for optical spectroscopy, imaging and dosimetry.

    abstract::Optical spectroscopy, imaging, and therapy tissue phantoms must have the scattering and absorption properties that are characteristic of human tissues, and over the past few decades, many useful models have been created. In this work, an overview of their composition and properties is outlined, by separating matrix, s...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章,评审

    doi:10.1117/1.2335429

    authors: Pogue BW,Patterson MS

    更新日期:2006-07-01 00:00:00

  • Early development of optical low-coherence reflectometry and some recent biomedical applications.

    abstract::This paper explains the term low-coherence interferometry, reviews the early development of optical low-coherence reflectometry, and shows some of the paths that led to the field of biomedical optics. This paper demonstrates that early technical developments in the telecommunications industry resulted in a myriad of t...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.429914

    authors: Masters BR

    更新日期:1999-04-01 00:00:00

  • Changes in the redox state and endogenous fluorescence of in vivo human skin due to intrinsic and photo-aging, measured by multiphoton tomography with fluorescence lifetime imaging.

    abstract::Ultraviolet radiation from solar exposure is a key extrinsic factor responsible for premature skin aging (i.e., photo-aging). Recent advances using in vivo multiphoton tomography (MPT) demonstrate the efficacy of this approach to assess intrinsic and extrinsic skin aging as an alternative to existing invasive techniqu...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.18.6.061217

    authors: Sanchez WY,Obispo C,Ryan E,Grice JE,Roberts MS

    更新日期:2013-06-01 00:00:00

  • FRET-based method for evaluation of the efficiency of reversible and irreversible sonoporation.

    abstract::It is widely known that not all of the treated cells survive after introduction of exogenous molecules via any physical method. Therefore, it is important to develop methods that would allow simultaneous evaluation of both molecular delivery efficiency and cell viability. This study presents Förster resonance energy t...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.22.9.097001

    authors: Ruzgys P,Tamošiūnas M,Lukinsone V,Šatkauskas S

    更新日期:2017-09-01 00:00:00

  • Single-cell analysis of dihydroartemisinin-induced apoptosis through reactive oxygen species-mediated caspase-8 activation and mitochondrial pathway in ASTC-a-1 cells using fluorescence imaging techniques.

    abstract::Dihydroartemisinin (DHA), a front-line antimalarial herbal compound, has been shown to possess promising anticancer activity with low toxicity. We have previously reported that DHA induced caspase-3-dependent apoptosis in human lung adenocarcinoma cells. However, the cellular target and molecular mechanism of DHA-indu...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.3481141

    authors: Lu YY,Chen TS,Wang XP,Li L

    更新日期:2010-07-01 00:00:00

  • Near-infrared light-responsive liposomal contrast agent for photoacoustic imaging and drug release applications.

    abstract::Photoacoustic imaging has become an emerging tool for theranostic applications. Not only does it help in

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.22.4.041007

    authors: Sivasubramanian K,Mathiyazhakan M,Wiraja C,Upputuri PK,Xu C,Pramanik M

    更新日期:2017-04-01 00:00:00

  • Navigation of a robot-integrated fluorescence laparoscope in preoperative SPECT/CT and intraoperative freehand SPECT imaging data: a phantom study.

    abstract::Robot-assisted laparoscopic surgery is becoming an established technique for prostatectomy and is increasingly being explored for other types of cancer. Linking intraoperative imaging techniques, such as fluorescence guidance, with the three-dimensional insights provided by preoperative imaging remains a challenge. Na...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.21.8.086008

    authors: van Oosterom MN,Engelen MA,van den Berg NS,KleinJan GH,van der Poel HG,Wendler T,van de Velde CJ,Navab N,van Leeuwen FW

    更新日期:2016-08-01 00:00:00

  • Modulation of an optical needle's reflectivity alters the average photon path through scattering media.

    abstract::We introduce the concept of deliberate placement of absorbers to alter the average path of photons through tissue for a biomedical optical device. By changing the reflectivity of a needle that separates a source and detector, the average photon path through a turbid medium can be changed. Totally reflective needles ha...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.2168167

    authors: Simonson P,D'Amico E,Gratton E

    更新日期:2006-01-01 00:00:00

  • Needle-based fluorescence endomicroscopy via structured illumination with a plastic, achromatic objective.

    abstract::In order to diagnose cancer, a sample must be removed, prepared, and examined under a microscope, which is expensive, invasive, and time consuming. Fiber optic fluorescence endomicroscopy, where an image guide is used to obtain high-resolution images of tissue in vivo, has shown promise as an alternative to convention...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.18.9.096003

    authors: Kyrish M,Dobbs J,Jain S,Wang X,Yu D,Richards-Kortum R,Tkaczyk TS

    更新日期:2013-09-01 00:00:00

  • Optical reflectance assay for the detection of biofilm formation.

    abstract::We describe the protocol for an inexpensive and nondestructive optical reflectance assay for the measurement of biofilm formation. Reflectance data are obtained using an Ocean Optics (Dunedin, Florida) USB 2000 spectrometer with a polychromatic light source. A fiber optic cable is used both for illumination and collec...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.1953347

    authors: Broschat SL,Loge FJ,Peppin JD,White D,Call DR,Kuhn E

    更新日期:2005-07-01 00:00:00

  • Robot-assisted three-dimensional registration for cochlear implant surgery using a common-path swept-source optical coherence tomography probe.

    abstract::Cochlear implantation offers the potential to restore sensitive hearing in patients with severe to profound deafness. However, surgical placement of the electrode array within the cochlea can produce trauma to sensorineural components, particularly if the initial turn of the cochlea is not successfully navigated as th...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.19.5.057004

    authors: Gurbani SS,Wilkening P,Zhao M,Gonenc B,Cheon GW,Iordachita II,Chien W,Taylor RH,Niparko JK,Kang JU

    更新日期:2014-05-01 00:00:00

  • Bleaching of plasmon-resonance absorption of gold nanorods decreases efficiency of cell destruction.

    abstract::When irradiated with nanosecond laser pulses, gold nanoparticles allow for manipulation or destruction of cells and proteins with high spatial and temporal precision. Gold nanorods are especially attractive, because they have an up-to-20-fold stronger absorption than a sphere of equal volume, which is shifted to the o...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.17.5.058003

    authors: Rudnitzki F,Bever M,Rahmanzadeh R,Brieger K,Endl E,Groll J,Hüttmann G

    更新日期:2012-05-01 00:00:00

  • Endoscopic swept-source optical coherence tomography based on a two-axis microelectromechanical system mirror.

    abstract::A microelectromechanical system (MEMS) mirror based endoscopic swept-source optical coherence tomography (SS-OCT) system that can perform three-dimensional (3-D) imaging at high speed is reported. The key component enabling 3-D endoscopic imaging is a two-axis MEMS scanning mirror which has a 0.8×0.8  mm2 mirror plate...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.18.8.086005

    authors: Wang D,Fu L,Wang X,Gong Z,Samuelson S,Duan C,Jia H,Ma JS,Xie H

    更新日期:2013-08-01 00:00:00

  • In vivo label-free quantification of liver microcirculation using dual-modality microscopy.

    abstract::Microcirculation lesion is a common symptom of chronic liver diseases in the form of vasculature deformation and circulation alteration. In acute to chronic liver diseases such as biliary atresia, microcirculation lesion can have an early onset. Detection of microcirculation lesion is meaningful for studying the progr...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.19.11.116006

    authors: Yan J,Kang Y,Xu S,Ong LL,Zhuo S,Bunte RM,Chen N,Asada HH,So PT,Wanless IR,Yu H

    更新日期:2014-01-01 00:00:00

  • Spatiotemporal laser speckle contrast analysis for blood flow imaging with maximized speckle contrast.

    abstract::Laser speckle contrast imaging is a technique used for imaging blood flow without scanning. Though several studies have attempted to combine spatial and temporal statistics of laser speckle images for reducing image noise as well as preserving acceptable spatiotemporal resolution, the statistical accuracy of these spa...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.3290804

    authors: Qiu J,Li P,Luo W,Wang J,Zhang H,Luo Q

    更新日期:2010-01-01 00:00:00

  • Development of a digital fluorescence sensing technique to monitor the response of macrophages to external hypoxia.

    abstract::Oxygen plays a very important role in living cells. The intracellular level of oxygen is under tight control, as even a small deviation from normal oxygen level affects major cellular metabolic processes and is likely to result in cellular damage or cell death. This paper describes the use of the oxygen sensitive fluo...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.1344190

    authors: Asiedu JK,Ji J,Nguyen M,Rosenzweig N,Rosenzweig Z

    更新日期:2001-04-01 00:00:00

  • High-resolution whole organ imaging using two-photon tissue cytometry.

    abstract::Three-dimensional (3-D) tissue imaging offers substantial benefits to a wide range of biomedical investigations from cardiovascular biology, diabetes, Alzheimer's disease to cancer. Two-photon tissue cytometry is a novel technique based on high-speed multiphoton microscopy coupled with automated histological sectionin...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.2435626

    authors: Ragan T,Sylvan JD,Kim KH,Huang H,Bahlmann K,Lee RT,So PT

    更新日期:2007-01-01 00:00:00

  • Multimodal optical measurement in vitro of surface deformations and wall thickness of the pressurized aortic arch.

    abstract::Computational modeling of arterial mechanics continues to progress, even to the point of allowing the study of complex regions such as the aortic arch. Nevertheless, most prior studies assign homogeneous and isotropic material properties and constant wall thickness even when implementing patient-specific luminal geome...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.JBO.20.4.046005

    authors: Genovese K,Humphrey JD

    更新日期:2015-04-01 00:00:00

  • Evaluating the use of optical coherence tomography for the detection of epithelial cancers in vitro.

    abstract::Optical coherence tomography (OCT) is a noninvasive imaging methodology that is able to image tissue to depths of over 1 mm. Many epithelial conditions, such as melanoma and oral cancers, require an invasive biopsy for diagnosis. A noninvasive, real-time, point of care method of imaging depth-resolved epithelial struc...

    journal_title:Journal of biomedical optics

    pub_type: 杂志文章

    doi:10.1117/1.3652708

    authors: Smith LE,Hearnden V,Lu Z,Smallwood R,Hunter KD,Matcher SJ,Thornhill MH,Murdoch C,MacNeil S

    更新日期:2011-11-01 00:00:00