Optimal dye concentration and irradiance for laser-assisted vascular anastomosis

Zhen Ren, Hua Xie, Kathryn A. Lagerquist, Allen Burke, Scott Prahl, Kenton Gregory, Anthony P. Furnary

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: This investigation was done in order to find optimal indocyanine green (ICG) concentration and energy irradiance in laser vascular welding. Background Data: Many studies have shown that laser tissue welding with albumin solder/ICG may be an effective technique in surgical reconstruction. However, there are few reports regarding optimal laser settings and concentrations of ICG within the albumin solder in laser-assisted vascular anastomosis. Materials and Methods: Porcine carotid artery strips (n = 120) were welded in end-to-end by diode laser with 50% albumin solder of 0.01, 0.1, and 1.0 mM ICG at irradiance of 27.7, 56.7, and 76.9 W/cm2, respectively. Temperature was measured by inserting thermocouples outside and inside the vessel. Tensile strength and histology were studied. Results: Temperature and strength of the anastomosis significantly decreased (all p <0.05) with increasing ICG concentration at 56.7 W/cm2. Histological study showed minimal thermal injury limited to adventitia and no appreciable difference between all groups. Conclusions: ICG concentration within solder is the most important factor affecting both vascular temperature and tensile strength. The optimal balance between strength and minimal thermal injury may be achieved primarily at 56.7 W/cm2 and 0.01 mM ICG.

Original languageEnglish (US)
Pages (from-to)81-86
Number of pages6
JournalJournal of Clinical Laser Medicine and Surgery
Volume22
Issue number2
StatePublished - Apr 2004

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Indocyanine Green
Soldering alloys
Blood Vessels
Lasers
Coloring Agents
Dyes
Welding
Tensile strength
Albumins
Tensile Strength
Histology
Temperature
Thermocouples
Hot Temperature
Semiconductor lasers
Adventitia
Semiconductor Lasers
Tissue
Wounds and Injuries
Carotid Arteries

ASJC Scopus subject areas

  • Biomedical Engineering
  • Surgery

Cite this

Optimal dye concentration and irradiance for laser-assisted vascular anastomosis. / Ren, Zhen; Xie, Hua; Lagerquist, Kathryn A.; Burke, Allen; Prahl, Scott; Gregory, Kenton; Furnary, Anthony P.

In: Journal of Clinical Laser Medicine and Surgery, Vol. 22, No. 2, 04.2004, p. 81-86.

Research output: Contribution to journalArticle

Ren, Zhen ; Xie, Hua ; Lagerquist, Kathryn A. ; Burke, Allen ; Prahl, Scott ; Gregory, Kenton ; Furnary, Anthony P. / Optimal dye concentration and irradiance for laser-assisted vascular anastomosis. In: Journal of Clinical Laser Medicine and Surgery. 2004 ; Vol. 22, No. 2. pp. 81-86.
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AU - Xie, Hua

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AU - Gregory, Kenton

AU - Furnary, Anthony P.

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