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Nowadays, lasers have confidently entered the clinical practice of coronary heart disease treatment using the laser myocardial revascularization method (MRL). As a rule, MRL operations are combined with aortocoronary bypass surgery (CABG). Pulsed heart surgery requires its synchronization with heart rhythms to avoid fibrillation.
Successful revascularization requires sufficiently fast (in about 1 second) formation of a channel in the myocardium with minimal thermal damage to the walls. This can be accomplished by continuous or pulsed-periodic radiation in contact work with a light guide. Using a semiconductor laser with a wavelength of 0.97 µm for channel formation allows the formation of a channel with minimal thermal damage to the walls. When the channel is overgrown, there is a process of formation of new vessels sprouting into the surrounding myocardial tissue.
Possible applications:
• Coronary heart disease.
The purchase of the IRE-Polus laser will open new possibilities for the cardiac surgery department of your clinic.
Many physicians believe that it would be preferable not to overgrow laser channels in the myocardium, even with neovasculogenesis, but to transform these channels into vessels. Such result was obtained when using radiation from a unique fiber laser for revascularization. In experiments on dogs histological studies of laser channel section 34 and 48 days after surgery showed preservation of laser channel lumen and formation of channel walls similar to "thick-walled" vessels with endothelization.
Currently, laser transmyocardial revascularization operations are usually performed in the open heart. However, the use for this purpose of laser radiation delivered through a light guide and three-dimensional navigation systems allowing precise positioning of the working end of the light guide in the human body have created prerequisites for performing such operations less invasively, introducing the light guide inside the heart via an artery.