Collateral damage to the ureter and Nitinol stone baskets during thulium fiber laser lithotripsy.
Identifieur interne : 000090 ( PubMed/Corpus ); précédent : 000089; suivant : 000091Collateral damage to the ureter and Nitinol stone baskets during thulium fiber laser lithotripsy.
Auteurs : Christopher R. Wilson ; Luke A. Hardy ; Pierce B. Irby ; Nathaniel M. FriedSource :
- Lasers in surgery and medicine [ 1096-9101 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- chemical : Alloys, Thulium.
- adverse effects : Lithotripsy, Laser.
- injuries : Ureter.
- instrumentation : Lithotripsy, Laser.
- Animals, Equipment Design, Equipment Failure, Swine, Tissue Culture Techniques.
Abstract
The experimental Thulium fiber laser (TFL) is currently being studied as a potential alternative lithotripter to the clinical gold standard Holmium:YAG laser. Safety studies characterizing undesirable Holmium:YAG laser-induced damage to ureter tissue and stone baskets have been previously reported. Similarly, this study characterizes TFL induced ureter and stone basket damage.
DOI: 10.1002/lsm.22348
PubMed: 25872759
Links to Exploration step
pubmed:25872759Le document en format XML
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<author><name sortKey="Wilson, Christopher R" sort="Wilson, Christopher R" uniqKey="Wilson C" first="Christopher R" last="Wilson">Christopher R. Wilson</name>
<affiliation><nlm:affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hardy, Luke A" sort="Hardy, Luke A" uniqKey="Hardy L" first="Luke A" last="Hardy">Luke A. Hardy</name>
<affiliation><nlm:affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Irby, Pierce B" sort="Irby, Pierce B" uniqKey="Irby P" first="Pierce B" last="Irby">Pierce B. Irby</name>
<affiliation><nlm:affiliation>McKay Department of Urology, Carolinas Medical Center, Charlotte, North Carolina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Fried, Nathaniel M" sort="Fried, Nathaniel M" uniqKey="Fried N" first="Nathaniel M" last="Fried">Nathaniel M. Fried</name>
<affiliation><nlm:affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Collateral damage to the ureter and Nitinol stone baskets during thulium fiber laser lithotripsy.</title>
<author><name sortKey="Wilson, Christopher R" sort="Wilson, Christopher R" uniqKey="Wilson C" first="Christopher R" last="Wilson">Christopher R. Wilson</name>
<affiliation><nlm:affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hardy, Luke A" sort="Hardy, Luke A" uniqKey="Hardy L" first="Luke A" last="Hardy">Luke A. Hardy</name>
<affiliation><nlm:affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Irby, Pierce B" sort="Irby, Pierce B" uniqKey="Irby P" first="Pierce B" last="Irby">Pierce B. Irby</name>
<affiliation><nlm:affiliation>McKay Department of Urology, Carolinas Medical Center, Charlotte, North Carolina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Fried, Nathaniel M" sort="Fried, Nathaniel M" uniqKey="Fried N" first="Nathaniel M" last="Fried">Nathaniel M. Fried</name>
<affiliation><nlm:affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</nlm:affiliation>
</affiliation>
</author>
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<series><title level="j">Lasers in surgery and medicine</title>
<idno type="eISSN">1096-9101</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alloys</term>
<term>Animals</term>
<term>Equipment Design</term>
<term>Equipment Failure</term>
<term>Lithotripsy, Laser (adverse effects)</term>
<term>Lithotripsy, Laser (instrumentation)</term>
<term>Swine</term>
<term>Thulium</term>
<term>Tissue Culture Techniques</term>
<term>Ureter (injuries)</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Alloys</term>
<term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lithotripsy, Laser</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Ureter</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Lithotripsy, Laser</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Animals</term>
<term>Equipment Design</term>
<term>Equipment Failure</term>
<term>Swine</term>
<term>Tissue Culture Techniques</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">The experimental Thulium fiber laser (TFL) is currently being studied as a potential alternative lithotripter to the clinical gold standard Holmium:YAG laser. Safety studies characterizing undesirable Holmium:YAG laser-induced damage to ureter tissue and stone baskets have been previously reported. Similarly, this study characterizes TFL induced ureter and stone basket damage.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25872759</PMID>
<DateCreated><Year>2015</Year>
<Month>06</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>04</Month>
<Day>04</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1096-9101</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>47</Volume>
<Issue>5</Issue>
<PubDate><Year>2015</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Lasers in surgery and medicine</Title>
<ISOAbbreviation>Lasers Surg Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Collateral damage to the ureter and Nitinol stone baskets during thulium fiber laser lithotripsy.</ArticleTitle>
<Pagination><MedlinePgn>403-10</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/lsm.22348</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The experimental Thulium fiber laser (TFL) is currently being studied as a potential alternative lithotripter to the clinical gold standard Holmium:YAG laser. Safety studies characterizing undesirable Holmium:YAG laser-induced damage to ureter tissue and stone baskets have been previously reported. Similarly, this study characterizes TFL induced ureter and stone basket damage.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A TFL beam with energy of 35 mJ per pulse, pulse duration of 500 µs, and variable pulse rates of 50-500 Hz, was delivered through 100-µm-core optical fibers, to either porcine ureter wall, in vitro, or a standard 1.9-Fr Nitinol stone basket wire. Ureter perforation times were measured and gross, histological, and optical coherence tomography images of the ablation area were acquired. Stone basket damage was graded as a function of pulse rate, number of pulses, and working distance.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">TFL operation at 150, 300, and 500 Hz produced mean ureter perforation times of 7.9, 3.8, and 1.8 seconds, respectively. Collateral damage widths averaged 510, 370, and 310 µm. Nitinol wire damage decreased with working distance and was non-existent at distances greater than 1.0 mm. In contact mode, 500 pulses delivered at pulse rates ≥300 Hz (≤1.5 seconds) were sufficient to cut Nitinol wires.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The TFL, operated in low pulse energy and high pulse rate mode, may provide a greater safety margin than the standard Holmium:YAG laser for lithotripsy, as evidenced by longer TFL ureter perforation times and shorter non-contact working distances for stone basket damage than previously reported with Holmium:YAG laser.</AbstractText>
<CopyrightInformation>© 2015 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wilson</LastName>
<ForeName>Christopher R</ForeName>
<Initials>CR</Initials>
<AffiliationInfo><Affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hardy</LastName>
<ForeName>Luke A</ForeName>
<Initials>LA</Initials>
<AffiliationInfo><Affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Irby</LastName>
<ForeName>Pierce B</ForeName>
<Initials>PB</Initials>
<AffiliationInfo><Affiliation>McKay Department of Urology, Carolinas Medical Center, Charlotte, North Carolina.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fried</LastName>
<ForeName>Nathaniel M</ForeName>
<Initials>NM</Initials>
<AffiliationInfo><Affiliation>Department of Physics and Optical Science, University of North Carolina at Charlotte, Charlotte, North Carolina.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>McKay Department of Urology, Carolinas Medical Center, Charlotte, North Carolina.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Urology, Johns Hopkins Medical Institutions, Baltimore, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2015</Year>
<Month>04</Month>
<Day>14</Day>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Lasers Surg Med</MedlineTA>
<NlmUniqueID>8007168</NlmUniqueID>
<ISSNLinking>0196-8092</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000497">Alloys</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>52013-44-2</RegistryNumber>
<NameOfSubstance UI="C013616">nitinol</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber>
<NameOfSubstance UI="D013932">Thulium</NameOfSubstance>
</Chemical>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D000497">Alloys</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000818">Animals</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004868">Equipment Failure</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D017602">Lithotripsy, Laser</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013552">Swine</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013932">Thulium</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D046509">Tissue Culture Techniques</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014513">Ureter</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000293">injuries</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ablation</Keyword>
<Keyword MajorTopicYN="N">basket</Keyword>
<Keyword MajorTopicYN="N">holmium</Keyword>
<Keyword MajorTopicYN="N">kidney</Keyword>
<Keyword MajorTopicYN="N">laser</Keyword>
<Keyword MajorTopicYN="N">lithotripsy</Keyword>
<Keyword MajorTopicYN="N">stones</Keyword>
<Keyword MajorTopicYN="N">thulium</Keyword>
<Keyword MajorTopicYN="N">ureter</Keyword>
</KeywordList>
</MedlineCitation>
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