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Proceedings Paper

Novel laser-vascular welding to close catheter sheath hole after catheter intervention: welding against vascular model and fiber-based back scattering monitoring
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Paper Abstract

In order to attain complete seal of catheter sheath hole just after catheter intervention, we applied laser welding technique. We employed combination of diode laser (wavelength: 810nm) irradiation and indocyanine green stain to enhance heat generation on the stained surface. We studied laser sealing of catheter sheath hole on an ex vivo vascular model using porcine carotid artery. We successfully demonstrated the sheath hole closure in this welding in the model with 1.8W, 8s diode laser irradiation. In this case, we estimated 78 °C of the maximum temperature at welding surface by thermal conduction calculation. Collagen fiber melting was found in welding region. To know vascular wall at the fiber tip to perform laser welding in blind procedure, we constructed fiber-optic backscattering light measurement system. We used green He-Ne laser light (543nm) to distinguish hemoglobin concentration in the tissue. We obtained tissue discrimination at fiber tip in blind procedure. We think our particular laser welding in combination with novel tissue discrimination technique at the fiber tip may attain the catheter sheath hole closure with sufficient mechanical strength in blind procedure.

Paper Details

Date Published: 25 April 2005
PDF: 8 pages
Proc. SPIE 5686, Photonic Therapeutics and Diagnostics, (25 April 2005); doi: 10.1117/12.591360
Show Author Affiliations
Tsunenori Arai, Keio Univ. (Japan)
Noriko Usami, Keio Univ. (Japan)
Sayaka Ohmori, Keio Univ. (Japan)

Published in SPIE Proceedings Vol. 5686:
Photonic Therapeutics and Diagnostics
Brian Jet-Fei Wong M.D.; Eugene A. Trowers M.D.; Kenton W. Gregory M.D.; Abraham Katzir; Nikiforos Kollias; Reza S. Malek M.D.; Henry Hirschberg M.D.; Kenneth Eugene Bartels D.V.M.; Steen J. Madsen; Lloyd P. Tate V.D.M.; Lawrence S. Bass M.D.; Werner T. W. de Riese; Karen M. McNally-Heintzelman, Editor(s)

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