Dye‐enhanced laser tissue welding

Roy S. Chuck, Mehmet C. Oz, Thomas M. Delohery, Jeffrey P. Johnson, Lawrence S. Bass, Roman Nowygrod, Michael R. Treat

Research output: Contribution to journalArticle

80 Scopus citations

Abstract

For vascular anastomosis, use of topical photosensitizing dye enhances selective delivery of laser energy to target tissue, thus reducing the amount of collateral thermal injury and threshold power required for welding. For fluorescein isothiocyanate (FITC)—stained rabbit aorta in vitro, the threshold for tissue blanching was 15 seconds of 100 mW exposure of cw argon ion laser compared with 15 seconds at 300 mW for unstained tissue. The threshold power density needed for argon laser welding of abdominal aortotomies in rabbits in vivo was 3.8 W/cm2 with FITC and 7.6 W/cm2 without the dye. However, bursting pressures for the two groups (164 mm Hg with FITC, 147 mm Hg without FITC) were not significantly different. Histology revealed decreased collateral thermal damage in FITC‐enhanced welds. Use of photosensitizing dyes for tissue welding is feasible and may allow arterial welding with lower power laser systems and cause less thermal trauma by lowering threshold power levels.

Original languageEnglish (US)
Pages (from-to)471-477
Number of pages7
JournalLasers in Surgery and Medicine
Volume9
Issue number5
DOIs
Publication statusPublished - 1989
Externally publishedYes

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Keywords

  • anastomosis
  • argon ion laser
  • dye
  • fluorescein
  • photosensitizer

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Cite this

Chuck, R. S., Oz, M. C., Delohery, T. M., Johnson, J. P., Bass, L. S., Nowygrod, R., & Treat, M. R. (1989). Dye‐enhanced laser tissue welding. Lasers in Surgery and Medicine, 9(5), 471-477. https://doi.org/10.1002/lsm.1900090508