In-vitro assessment of Ho:YAG laser lithotripsy for the treatment of canine urolithiasis

2002 ◽  
Author(s):  
Victoria Wynn ◽  
Ellen Davidson ◽  
Russell G. Higbee ◽  
Jerry W. Ritchey ◽  
Tisha Ridgway ◽  
...  
Keyword(s):  
Laser Lithotripsy ◽  
Ho:Yag Laser ◽  
In Vitro Assessment

scholarly journals How much energy do we need to ablate 1 mm3 of stone during Ho:YAG laser lithotripsy? An in vitro study

2020 ◽  
Vol 38 (11) ◽  
pp. 2945-2953 ◽  
Author(s):  
Frédéric Panthier ◽  
Eugenio Ventimiglia ◽  
Laurent Berthe ◽  
Catherine Chaussain ◽  
Michel Daudon ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Laser Lithotripsy ◽  
Vitro Study ◽  
Ho:Yag Laser

scholarly journals A scoping review of the clinical efficacy and safety of the novel thulium fiber laser: The rising star of laser lithotripsy

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Bruce Gao ◽  
Adam Bobrowski ◽  
Jason Lee
Keyword(s):  
Scoping Review ◽  
Operating Time ◽  
Case Series ◽  
Laser Lithotripsy ◽  
The Novel ◽  
Ho:Yag Laser ◽  
Intracorporeal Lithotripsy ◽  
Full Text Review ◽  
Thulium Fiber Laser

Introduction: The holmium:yttrium-aluminum-garnet (Ho:YAG) laser is the gold standard for intracorporeal lithotripsy. Preclinical reports suggest the thulium laser fibre (TFL) may possess advantages over the Ho:YAG laser, including improved lithotripsy efficacy, enhanced safety, and lower costs. Although the TFL is well-characterized in vitro, there are no reviews examining TFL lithotripsy in a clinical setting. Methods: A review of the literature was conducted using a systematic search of MEDLINE, PubMed, and Embase, yielding a total of 130 manuscripts published up to May 2020. Two independent reviewers selected studies for screening, eligibility, and inclusion into the scoping review. Following the title, abstract, and full-text review, 14 articles were analyzed. Results: Within these articles, there were 13 prospective cohort studies and one case series. The average sample size was 100 participants. Study followup durations ranged from four weeks to three months. TFL had comparable stone-free rates to Ho:YAG lasers and improved operating time. TFL was subjectively favorable in terms of stone retropulsion, stone fragmentation, endoscopic maneuverability, and endoscopic visibility. TFL appeared clinically safe and did not result in any major complications. Many studies were underpowered and non-peer-reviewed, demonstrating the need for additional research in this field. Conclusions: The TFL has the potential to catalyze a paradigm shift in laser lithotripsy. While the objective of this scoping review was to describe the contemporary landscape of the literature, it is important to consider that inferences posed by the studies described herein must be tempered by the low quality of available evidence.

scholarly journals Laser Fiber Displacement Velocity during Tm-Fiber and Ho:YAG Laser Lithotripsy: Introducing the Concept of Optimal Displacement Velocity

2021 ◽  
Vol 11 (1) ◽  
pp. 181
Author(s):  
Frederic Panthier ◽  
Thibault Germain ◽  
Cyril Gorny ◽  
Laurent Berthe ◽  
Steeve Doizi ◽  
...  
Keyword(s):  
Operation Time ◽  
In Vitro Study ◽  
Laser Lithotripsy ◽  
Displacement Velocity ◽  
Laser Source ◽  
Flexible Ureteroscopy ◽  
Core Diameter ◽  
Ho:Yag Laser ◽  
Laser Fiber

Background: Endocorporeal laser lithotripsy (EL) during flexible ureteroscopy (URS-f) often uses “dusting” settings with “painting” technique. The displacement velocity of the laser fiber (LF) at the stone surface remains unknown and could improve EL’s ablation rates. This in vitro study aimed to define the optimal displacement velocity (ODV) for both holmium:yttrium-aluminium-garnet (Ho:YAG) and thulium fiber laser (Tm-Fiber). Methods: A 50W-TFL (IRE Polus®, Russia) and a 30W-MH1-Ho:YAG laser (Rocamed®), were used with 272µm-Core-Diameter LF (Sureflex, Boston Scientific©), comparing three TFL modes, “fine dusting” (FD:0.05–0.15 J/100–600 Hz); “dusting” (D:0.5 J/30–60 Hz); “fragmentation” (Fr:1 J/15–30 Hz) and two Ho:YAG modes (D:0.5 J/20 Hz, Fr:1 J/15 Hz). An experimental setup consisting of immerged cubes of calcium oxalate monohydrate (COM) stone phantoms (Begostone Plus, Begoã) was used with a 2 seconds’ laser operation time. LF were in contact with the stones, static or with a displacement of 5, 10 or 20 mm. Experiments were repeated four times. Stones were dried and µ-scanned. Ablation volumes (mm3) were measured by 3D-segmentation. Results: ODV was higher in dusting compared to fragmentation mode during Ho:YAG lithotripsy (10 mm/sec vs. 5 mm/sec, respectively). With Tm-Fiber, dusting and fragmentation OVDs were similar (5 mm/sec). Tm-Fiber ODV was lower than Ho:YAGs in dusting settings (5 mm/s vs. 10 mm/sec, respectively). Without LF displacement, ablation volumes were at least two-fold higher with Tm-Fiber compared to Ho:YAG. Despite the LF-DV, we report a 1.5 to 5-fold higher ablation volume with Tm-Fiber compared to Ho:YAG. Conclusions: In dusting mode, the ODVTm-Fiber is lower compared to ODVHo:YAG, translating to a potential easier Tm-Fiber utilization for “painting” dusting technique. The ODV determinants remain unknown. Dynamic ablation volumes are higher to static ones, regardless of the laser source, settings or LF displacement velocity.

Temperature changes during laser lithotripsy with Ho:YAG laser and novel Tm-fiber laser: a comparative in-vitro study

2020 ◽  
Vol 38 (12) ◽  
pp. 3261-3266 ◽  
Author(s):  
Mark Taratkin ◽  
Ekaterina Laukhtina ◽  
Nirmish Singla ◽  
Vasily Kozlov ◽  
Abdusalam Abdusalamov ◽  
...  
Keyword(s):  
Fiber Laser ◽  
In Vitro Study ◽  
Laser Lithotripsy ◽  
Vitro Study ◽  
Ho:Yag Laser ◽  
Temperature Changes
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