FAQ
An excimer laser produces pulsed bursts of ultraviolet (UV) light energy that are capable of gently dissolving plaque and calcium into tiny particles, the majority of which are smaller than a red blood cell, that are easily absorbed into the bloodstream. This energy is transmitted along flexible glass fibers encased in catheters, which can be passed through arteries and veins. The UV light energy is then focused on the blockages that need to be treated.
Clinical study show excimer laser use is less invasive and requires less recovery time than bypass surgery and may provide CLI patients an alternative to amputation. *
For Cardiac Lead Management the use of an excimer laser sheath facilitates predictable lead removal procedure times by effectively addressing various types of binding tissue. A clinical study showed that the laser sheath enables faster and less variable procedure times than manual tools alone. **
Excimer laser ablation offers a minimally invasive treatment option for Vascular Intervention. When appropriate, the patient remains awake, but under anesthesia, and will experience very little, if any, discomfort. You will experience sensations common to those felt in all interventional procedures. Ask your physician what to expect during your personal procedure. Lead removal procedures vary depending on the reason for the cardiac lead extraction.
The procedures usually take one to two hours, with only minutes of actual laser time, but, again, hospital times may vary. Recovery time in the hospital is typically one to two days for Vascular Intervention and varies for Lead Extraction. Your physician will recommend any follow-up medications, diet, wound care and activity programs you should follow.
Many patients report relief from leg pain the same day as the procedure. Patients who have cardiac leads removed do not typically enter into the procedure due to pain.
* Spectranetics conducted a multi-center, two-phased clinical trial using
peripheral excimer laser angioplasty to treat critical limb ischemia patients
who were poor surgical candidates. The clinical trial results were
published in the Journal of Endovascular Therapy, a peer-reviewed medical
journal. The objective of the study was to evaluate the effectiveness of
excimer laser angioplasty in critical limb ischemia patients with complex
blockages in their legs. The study population included only those patients
who were determined to be poor or non-surgical candidates. As a result,
these patients were at high risk for limb loss. The primary endpoint of the
trial, limb salvage among surviving patients at six months following the
initial laser treatment, was 93 percent.
** Safe, effective and efficient data referenced from FDA: Summary of Safety and Effectiveness Data – Spectranetics 12 French Laser Sheath Kit – PLEXES: P960042, December 9,1997; Byrd, Charles, et al.
Clinical Study of the Laser Sheath for Lead Extraction: The Total Experience in the United States.
Journal of Pacing and Electrophysiology, Vol. 25, No. 5, May 2002; and Wilkoff, Bruce, L., et al.
Pacemaker Lead Extraction with the Laser Sheath: Results of the Pacing Lead Extraction with Excimer
Sheath (PLEXES) Trial. Journal of the American College of Cardiology, Vol. 33, No. 6, May 1999.
*** WSFX-TV Wilmington, NC, 10/4/2008.
D001278-02