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Proceedings Paper

Containment-enhanced Ho:YAG photofragmentation of soft tissues
Author(s): William A. Christens-Barry; Michael Guarnieri; Benjamin S. Carson
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Paper Abstract

Laser surgery of soft tissue can exploit the power of brief, intense pulses of light to cause localized disruption of tissue with minimal effect upon surrounding tissue. In particular, studies of Ho:YAG laser surgery have shown that the effects of cavitation upon tissues and bone depend upon the physical composition of structures in the vicinity of the surgical site. For photofragmentation of occluding structures within catheters and other implant devices, it is possible to exploit the particular geometry of the catheter to amplify the effects of photofragmentation beyond those seen in bulk tissue. A Ho:YAG laser was used to photofragment occlusive material (tissue and tissue analogs) contained in glass capillary tubing and catheter tubing of the kind used in ventricular shunt implants for the management of hydrocephalus. Occluded catheters obtained from patient explants were also employed. Selection of operational parameters used in photoablation and photofragmentation of soft tissue must consider the physical composition and geometry of the treatment site. In the present case, containment of the soft tissue within relatively inelastic catheters dramatically alters the extent of photofragmentation relative to bulk (unconstrained) material. Our results indicate that the disruptive effect of cavitation bubbles is increased in catheters, due to the rapid displacement of material by cavitation bubbles comparable in size to the inner diameter of the catheter. The cylindrical geometry of the catheter lumen may additionally influence the propagation of acoustic shock waves that result from the collapse of the condensing cavitation bubbles.

Paper Details

Date Published: 14 January 1998
PDF: 8 pages
Proc. SPIE 3195, Laser-Tissue Interaction, Tissue Optics, and Laser Welding III, (14 January 1998); doi: 10.1117/12.297900
Show Author Affiliations
William A. Christens-Barry, Johns Hopkins Univ. (United States)
Michael Guarnieri, Johns Hopkins Hospital (United States)
Benjamin S. Carson, Johns Hopkins Hospital (United States)

Published in SPIE Proceedings Vol. 3195:
Laser-Tissue Interaction, Tissue Optics, and Laser Welding III
Guy P. Delacretaz; Guilhem Godlewski; Roberto Pini; Rudolf W. Steiner; Lars Othar Svaasand, Editor(s)

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