{"title":"Experimental and clinical studies on transmyocardial laser revascularzation (TMLR)","authors":"M. Okada","doi":"10.1117/12.639109","DOIUrl":"https://doi.org/10.1117/12.639109","url":null,"abstract":"The number of patients with coronary artery disease has been increasing in Japan and several kinds of treatments have been performed to reduce their cardiovascular diseases. In patients with small branches, or diffuse stenotic lesions of the coronary arteries, on whom coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) cannot be carried out, it has been hemodynamically demonstrated possible to supply arterial blood from the left ventricular cavity to the ischemic myocardium through laser channels. On the basis of excellent experimental studies using mongrel dogs, newly created laser channels 0.2 mm in diameter have been confirmed to be histologically patent even 3 years after transmyocardial revascularization(TMLR). Thus, this method could be applied as an alternative procedure of transmyocardial revascularization. First clinical procedure of TMLR alone was performed on 55 year-old male patient with severe angina pectoris who had undergone pericardiectomy 7 years ago. He had no candidate for percutaneous coronary intervention, or coronary artery bypass grafting, because his left venticle had severe adhesion to the left lung. Therefore, this method was finally carried out. He is getting well after this surgical intervention. This procedure should be recommended for the patient with end-stage coronary artery disease.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132404056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Early panretinal photocoagulation for the treatment of ischemic central retinal vein occlusion","authors":"Zikui Yu, N. He","doi":"10.1117/12.639341","DOIUrl":"https://doi.org/10.1117/12.639341","url":null,"abstract":"Objective: To evaluate the safety and efficacy of treating ischemic central retinal vein occlusion (CRVO) with early panretinal photocoagulation (PRP). Methods: 24 eyes of 24 cases suffered from ischemic CRVO with history shorter than 3 months were included in this study. PRP treatments were completed through 3 to 5 times of laser therapy with total laser burns of 1000 to 2000 (mean 1505±384). Patients were followed up 3 months to 2 years, mean 18.4±8.0 months. The neovascularization regression and visual acuity were compared before and after PRP, also the long-term complications were observed. Results: 3 eyes of iris neovascularization (INV) regressed after PRP and there was no significant difference in visual acuity between prelaser and postlaser. No neovascular glaucoma (NVG) occurred and 2 eyes occurred vitreous hemorrhage during the follow up period. Conclusions: Early panretinal photocoagulation is safe and efficacious in preventing and reducing complications of ischemic CRVO. It can save valuable treatment time for some patients.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131407543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Research of epidermal cellular vegetal cycle of intravascular low level laser irradiation in treatment of psoriasis","authors":"Jing Zhu, Xiaoqing Bao, Meijue Zhang","doi":"10.1117/12.639327","DOIUrl":"https://doi.org/10.1117/12.639327","url":null,"abstract":"Objective: To research epidermal cellular vegetal cycle and the difference of DNA content between pre and post Intravascular Low Level Laser Irradiation treatment of psoriasis. Method: 15 patients suffered from psoriasis were treated by intravascular low level laser irradiation (output power: 4-5mw, 1 hour per day, a course of treatment is 10 days). We checked the different DNA content of epidermal cell between pre and post treatment of psoriasis and 8 natural human. Then the percentage of each phase among the whole cellular cycle was calculated and the statistical analysis was made. Results: The mean value of G1,S phase is obviously down while G2+M phase increased obviously. T test P<0.05. The related statistical analysis showed significant difference between pre and post treatments. Conclusions: The Intravascular Low Level Laser Irradiation (ILLLI) in treatment of psoriasis is effective according to the research of epidermal cellular vegetal cycle and the difference DNA content of Intravascular Low Level Laser Irradiation between pre and post treatment of psoriasis.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126496602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of a handy-type laser surgical unit","authors":"Y. Abe, K. Wakamatsu, Shigeru Goto","doi":"10.1117/12.639157","DOIUrl":"https://doi.org/10.1117/12.639157","url":null,"abstract":"We proposed a concept of a handy-type laser surgical unit for use in outpatient, in ward and in open-air field. To investigate the possibility of the concept, a handy-type semiconductor laser surgical unit was developed experimentally using 2-watts power laser diode with no built-in electrical cooling unit (Peltier chip) and a small rechargeable battery. The drive circuit was constructed with only current limit and ACC circuits. The laser diode was cooled with heat sink and simple fan. Laser irradiation was set to stop at 30 degree Celsius by monitoring the temperature of laser diode with thermistor temperature sensor. With this system, 1.18 watts of laser power at the end of optical fiber with both 600 and 900μm core diameter, and about 30 minutes of continuous irradiating time with Ni-Cd battery (4.8V 1,500mA/h) could be obtained with no over heating in laser diode. The result showed that the high power semiconductor laser could be driven with small battery when specially designed. In an animal experiment, small bleeding could be managed with contact irradiation method. This kind of simple laser surgical unit is considered to be useful for the management of small bleedings in clinical.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126629353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improvement of the technique in treatment of internal hemorrhoids with Nd:YAG laser","authors":"Xiaoqing Bao, Jing Zhu, Hongmin Shi","doi":"10.1117/12.639385","DOIUrl":"https://doi.org/10.1117/12.639385","url":null,"abstract":"Objective: To observe and study the improvement of the technique in treatment of internal hemorrhoids with Nd:YAG laser and evaluate the effective rate. Methods: 60 patients of internal hemorrhoids were treated with Nd:YAG laser (10-15mw) irradiating on the mucosa of the lesions. Results: Among 60 patients, 57 patients were primarily cured with one treatment, 3 patients were primarily cured with two treatments. The effective rate was 95% with one treatment, and it reached to 100% with two treatments. Conclusions: the improvement of the technique in treatment of internal hemorrhoids with Nd:YAG laser is effective and easy to operate.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"5967 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129658119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of intravascular low level He-Ne laser irradiation on iNOS, total-NOS, and ET-1 in acute spinal cord-injured rabbits","authors":"Zhenchun Yin, Yinghai Dong, Jing Zhu","doi":"10.1117/12.639315","DOIUrl":"https://doi.org/10.1117/12.639315","url":null,"abstract":"Objective To research the influence of intravascular low level Laser irradiation (ILLLI) on total NOS, iNOS, and ET-1 in spinal cord following acute spinal cord injury (ASCI), and discuss the protective effects of ILLLI on neurons. Methods 72 rabbits were randomly divided into 3 groups: treatment group, injury group and control group. In treatment group and injury group, after laminectomy at the level of T-13, ASCI was performed by using Allen's method with slight modification (6g×10cm) on rabbits. After injury, rabbits were treated immediately with He-Ne laser (power 5 mW, 1 hour per day for 10 days). At the day of 10th after treatment, total-NOS, iNOS, and ET-1 in spinal cord tissues were measured. Results The expression level of total-NOS, iNOS, and ET-1 in spinal cord in injury group were significantly higher than those in control group (P<0.05), while after ILLLI the level of these index in treatment group decreased statistically significantly compared with those in injury group (P<0.05). Conclusion ILLLI can significantly decrease the expression level of total-NOS, iNOS, and ET-1 in spinal cord. It indicates that ILLLI can relieve the overexpression of total-NOS, iNOS, and ET-1, and thus can perform protective effects on neurons in the course of secondary spinal cord injury (SSCI) following ASCI","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126873668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Takato O. Yoshida, E. Kohno, T. Sakurai, T. Hirano, Seiji Yamamoto, S. Terakawa
{"title":"Model for monitoring the process of photodynamic therapy in patients","authors":"Takato O. Yoshida, E. Kohno, T. Sakurai, T. Hirano, Seiji Yamamoto, S. Terakawa","doi":"10.1117/12.639221","DOIUrl":"https://doi.org/10.1117/12.639221","url":null,"abstract":"The photodynamic therapy (PDT) on tumors is quite effective and widely applied but usually carried out without an immediate evaluation of results. We measured the tumor fluorescence in mice with a fiber probe connected to a linear array spectral analyzer (PMA-11, Hamamatsu Photonics). The spectrum showed a transient change in fluorescence color from red to green during Photofrin-mediated PDT. In order to examine the source of green fluorescence, the mitochondria were accessed under a Nipkow disk-scanning confocal microscope in the HeLa cell in culture after labeling them with a red fluorescent protein (DsRed1-mito) and staining the cell with Photofrin (Axcan Scandipharm). Changes in fluorescence color from red to green were observed in the area of mitochondria upon their swelling during irradiation. This finding in vitro provided clear evidence that the change in fluorescence color from red to green observed in vivo was due to the mitochondrial destruction associated with the cell-death by PDT. This technique of spectral monitoring in tumor may be useful for detection of the cell-death signal during PDT in patients.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134437116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jian Zhu, M. Liang, H. Cao, Xiaoyuan Li, Shaochen Li, Shun-hao Li, Wen-qi Li, Jin-hong Zhang, Lei Liu, Jian-hong Lai
{"title":"Effect of intravascular irradiation of He-Ne laser on cerebral infarction: hemorrheology and apoptosis","authors":"Jian Zhu, M. Liang, H. Cao, Xiaoyuan Li, Shaochen Li, Shun-hao Li, Wen-qi Li, Jin-hong Zhang, Lei Liu, Jian-hong Lai","doi":"10.1117/12.639329","DOIUrl":"https://doi.org/10.1117/12.639329","url":null,"abstract":"Objective: To explore the efficacy of He-Ne laser intravascular irradiation on infarction and hemorrheology. To observe the effects of intravascular low level He-Ne laser irradiation (ILLLI) of blood on cell proliferation, apoptosis and chromosome in lymphocyte from cerebral infarction. Methods: Seventy cases with cerebral infarction were randomly divided into groups control group (35 cases) treated only with common drugs and therapeutic group (35 cases) treated besides common drugs also by He-Ne laser intravascular irradiation. Their hemorrheology index and treatment results were observed and compared. The blood lymphocytes of cerebral infarction were cultured before and after treatment. After that, the mitosis index (MI), cell kinetics index (CKI), sister-chromatid exchanges (SCE) frequencies and apoptosis were determined. Results: The therapeutic group was better than the control one. The effective rate in the therapeutic group was 88.6%, in the control one was 65.7%. The viscosity and fibrinogen, etc. were better than that in the control group with significant difference (P<0.01). The lymphocyte proliferation index was significantly two increased than the control one (P>0.05) in cerebral infarction patients after treatment; The CKI of lymphocytes had no obvious difference among groups (P>0.05); SCE frequencies of lymphocytes had no statistic significance between control group and ILLLI on (P>0.05). It showed the apoptosis rate of lymphocytes in cerebral infarction patients after ILLLI treatment increased significantly compared with the control group, (P<0.001). There was a significant difference of apoptosis rate of lymphocytes in cerebral infarction patients than the control (P<0.001). Conclusions: During the He-Ne laser intravascular irradiation of the cerebral infarction, the low level He-Ne by ILLLI can increase the proliferation of lymphocytes, and can induce lymphocytes to apoptosis, but has no mutagenicity of cells.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124866401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ureteropyeloscopy and holmium:YAG laser lithotripsy for treatment of ureteral calculi: report of 356 cases","authors":"Zhong Wu, Qiang Din, Haowen Jiang, Jing-cun Zen, Jiang Yu, Yuan-fan Zhang","doi":"10.1117/12.639376","DOIUrl":"https://doi.org/10.1117/12.639376","url":null,"abstract":"Objective: To evaluate the efficacy and safety of holmium:YAG laser lithotripsy for the treatment of ureteral calculi. Methods: A total of 356 patients underwent ureteropyeloscopic lithotripsy using holmium:YAG laser with a semirigid uretesopyeloscope, 93 upper, 135 middle, and 128 lower ureteral stones were treated. Results: The overall successful fragmentation rate for all ureteral stones in a single session achieved 98% (349/356). The successful fragmentation rate stratified by stone location was 95% (88/93) in the upper ureter, 99% (134/135) in the mid ureter , and 99% (127/128) in the distal ureter. 12 cases with bilateral ureteral stones which caused acute renal failure and anuria were treated rapidly and effectively by the holmium:YAG laser lithotripsy. No complications such as perforation and severe trauma were encountered during the operations. 2weeks~17months (with an average of 6.8 month) follow up postoperatively revealed that the overall stone-free rate was 98% (343/349) and no ureteral stenosis was found. Conclusions: Holmium:YAG laser lithotripsy is a highly effective, minimally invasive and safe therapy for ureteral calculi. It is indicated as a first choice of treatment for patients with ureteral calculi, especially for the ones with mid-lower levels of ureteral calculi.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126410834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Determination of the ablation threshold of 1341nm Nd:YAP laser radiation in the larynx of rabbit","authors":"Huiyun Lin, S. Xie, Buhong Li","doi":"10.1117/12.639161","DOIUrl":"https://doi.org/10.1117/12.639161","url":null,"abstract":"The purpose of this investigation is to determinate the ablation threshold of 1341 nm Nd:YAP laser radiation in the larynx of rabbits. In this study, 30 treatments with the Nd:YAP laser were carried out. The laser power of irradiation on tissue surface was varied from 4 to 12 W, while the duration of the irradiation was changed from 1 to 2.5 s in 0.5 s increments. The irradiated sample's surfaces were examined for visible signs of ablation under a reading microscope. The results reveal that 6.29×103 and 5.03×103 J/cm2 were the ablation threshold for vocal cord and epiglottis cartilage respectively. The trend of damage diameter and ablation diameter with energy density are also presented.","PeriodicalId":325950,"journal":{"name":"Shanghai International Conference on Laser Medicine and Surgery","volume":"202 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123040604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}