Lasers In Cardiovascular Medicine And Surgery Fundamentals And Techniques

Following the advent of percutaneous balloon vel oped and are available for clinical use, as well angioplasty, interventional cardiovascular pro as those that are still in investigational phases. cedures have become of great interest to the Clinical case reports are presented by expert in cardiologist, radiologist, and cardiovascular vestigators on the use of various catheter systems surgeon. One of the most extensively explored in the coronary and peripheral circulation. alternatives to bypass surgery is laser-mediated Part V (Chapters 17-23) is the most up-to angioplasty. The fascination with laser radia date review of the clinical experience with vari tion has greatly contributed to its popularity, ous laser delivery systems. There is an emphasis but has also burdened it with unrealistic ex on patient selection, criteria for lesion choice, pectations. Many commercial laser systems are and follow-up data. A detailed description of available to the clinician and the researcher, laser recanalization techniques is presented for which often makes the choice of a laser system the various systems in the clinical setting.

​​Since the introduction of laser devices to the medical sciences this technology has created great interest. Specifically, the laser’s unique physical properties and precise bio-tissue interactions render this versatile source of biologic energy an attractive tool for multiple therapeutic purposes in cardiovascular medicine. Over the course of the last 2 decades the utilization of laser technology has become an important component for the management of patients with complex cardiovascular diseases. During this time period, cutting edge laser technology including a variety of wave length generators, newly designed catheters, and a selection of advanced optic fibers have been introduced and applied in the cardiovascular circulation. Improved lasing techniques in the cardiac catheterization suites and operation rooms have been implemented for treatment of ischemic coronary syndromes, peripheral arterial occlusive disease and other atherosclerotic thrombotic conditions. Moreover, during this 20 year time frame, several multicenter and single center clinical studies have been published focusing on the role and utilization of lasers in coronary and peripheral revascularization. And within the rapidly expanding field of interventional cardiac electrophysiology, laser technology has recently revolutionized the management of fractured, abandoned and malfunctioning leads of cardiac pacemakers and automatic defibrillators. Consequently, replacing a notoriously cumbersome and high risk open heart surgery with safe and markedly efficient percutaneous laser based extraction. This textbook will provide the most authoritative, comprehensive and contemporary information covering technological progress, clinical experience and pertinent aspects of laser applications in cardiovascular medicine. It will be of interest to cardiologists, vascular surgeons and interventional radiologist as well as medical students, scientists, biomedical engineering students and graduates.​

Following the advent of percutaneous balloon vel oped and are available for clinical use, as well angioplasty, interventional cardiovascular pro as those that are still in investigational phases. cedures have become of great interest to the Clinical case reports are presented by expert in cardiologist, radiologist, and cardiovascular vestigators on the use of various catheter systems surgeon. One of the most extensively explored in the coronary and peripheral circulation. alternatives to bypass surgery is laser-mediated Part V (Chapters 17-23) is the most up-to angioplasty. The fascination with laser radia date review of the clinical experience with vari tion has greatly contributed to its popularity, ous laser delivery systems. There is an emphasis but has also burdened it with unrealistic ex on patient selection, criteria for lesion choice, pectations. Many commercial laser systems are and follow-up data. A detailed description of available to the clinician and the researcher, laser recanalization techniques is presented for which often makes the choice of a laser system the various systems in the clinical setting.

In the past decade, the application of lasers in surgery and medicine has increased dramatically. Recent advances in technology and procedures have brought many changes to the field and created a need for an authoritative, focused reference that both reviews the basic principles of laser medicine and provides detailed coverage of specific applications in various surgical subspecialties. Laser Surgery and Medicine: Principles and Practice assembles work from a diverse group of leading clinicians to offer a comprehensive, integrated survey of the current status and latest innovations in the biomedical uses of lasers. The text comprises papers originally published in the distinguished journal Lasers in Surgery and Medicine and covers such general topics as laser safety, laser welding of tissue, and photodynamic therapy, in addition to targeting nine distinct specialty areas. Chapters addressing surgical specialties feature high-quality illustra tions showing the finer points of essential techniques, as well as reports on current clinical trials, new therapeutic procedures, and relevant aspects of laser biophysics, bioengineering, and photobiology. This book covers the latest laser applications in the following specialties: * Neurosurgery * Dentistry * Otolaryngology * Cardiovascular medicine * Gastroenterology Laser Surgery and Medicine: Principles and Practice is a timely, practical resource designed to provide detailed explanations of equipment and procedures that will satisfy the needs of practitioners in specialized disciplines and serve as a well-rounded overview of the field. An indispensable resource for all clinicians who perform laser procedures, it is also a must for basic scientists and engineers who want to keep up with the latest in biomedical laser applications.

Focused on filling the need for a "basic physics" understanding of laser -tissue interactions, this book brings together contributions from experts in various medical specialties, including ophthalmology, dermatology, and cardiovascular medicine. Each chapter addresses significant applications of laser technology and offers the author's perspective on the state of the art within that specialty. The discussions convey enough basic information to enable readers to assess a laser's usefulness for a specific purpose and to understand it limitations.

Medical practitioners, scientists and graduate students alike will find this exhaustive survey a vital learning tool. It provides a thorough description of the fundamentals and applications in the field of laser-tissue interactions. Basic concepts such as the optical and thermal properties of tissue, the various types of tissue ablation, and optical breakdown and its related effects are treated in detail. The author pays special attention to mathematical tools (Monte Carlo simulations, the Kubelka-Munk theory etc.) and approved techniques (photodynamic therapy, laser-induced interstitial thermotherapy etc.). A section on applications reviews clinically relevant methods in modern medicine using the latest references.

This handbook is intended for the advanced specialist and for the practitioner interested in the application of lasers in medicine. It provides summaries of all available medical laser systems and their clinical use. The first part introduces basic laser physics, including laser-tissue interactions as well as technical equipment and particular techniques developed for medical use in connection with laser. The second part of the text covers all areas of laser application in medicine and has been written by senior specialists from different countries. The book includes about 300 line drawings, more than 100 high quality photographs, an extensive subject and author register, and an exhaustive list of references.

Laser--Tissue Interactions provides a thorough description of the fundamentals and applications in this field. Basic conceptions such as optical and thermal properties of tissue, various types of tissue ablation, and optical breakdown with related effects are treated in detail. Special attention is given to mathematical tools (Monte Carlo simulations, Kubelka--Munk theory) and approved techniques (photodynamic therapy, laser-induced interstitial thermotherapy). The part on applications reviews clinically relevant methods in modern medicine according to the latest references. The last chapter includes today's standards of laser safety, with a careful selection of essential guidelines published

primary goal of all forms of therapy is not just prolonging life, but improving the quality of life, has forced analysis of what constitutes quality of life, a concept whose structure pervades all walks of life and eludes definition. Global well being, happiness, morale, vitality, fullness of social life, and satisfaction must be integrated and assessed for the effects of the disease and the therapy, in the context of specific personality traits, attitudes to life, family situation, and socio-economic and political freedom. A growing inter est in research on this subject has led to a clearer understanding of the components which come to determine quality of a patient's life, and how they can be measured in a reproducible manner so that valid comparisons can be made. Keeping these recommendations of analysing quality of life within the context of patients who have undergone open heart surgery, it seemed appro priate to me to separate the influence of various forms of open heart surgery into five aspects of life which can comprehensively reflect the quality of life outcome of the operation. These five 'components' are (1) Physiological state, which summarises the traditionally reported incidence of operative mortality and morbidity, objectively and subjectively measured physical ca pacity, and the residual symptoms, treatment and long-term survival. (2) Intellectual functioning relates to the psychoneurolgocial deficit in memory, reasoning or judgement because of cerebral microembolism and hypo perfusion during cardiopulmonary bypass.

The increasing use of fiber optics in the field of medicine has created a need for an interdisciplinary perspective of the technology and methods for physicians as well as engineers and biophysicists. This book presents a comprehensive examination of lasers and optical fibers in an hierarchical, three-tier system. Each chapter is divided into three basic sections: the Fundamentals section provides an overview of basic concepts and background; the Principles section offers an in-depth engineering approach; and the Advances section features specific information on systems and biophysical parameters. All those interested in the fields of lasers and fiber optics will find this book fascinating and instructive reading.