PubMed Health⌕ Search

Biomedical subjects

B Jassemnejad

Publications and source records attributed to B Jassemnejad.

5 recordsLinked to original sources

Mechanisms of biliary stone fragmentation using the Ho:YAG laser.

We have investigated the fragmentation of gallstones using the pulsed Ho:YAG laser, comparing it to lithotripsy using the visible pulsed-dye laser. We find that the physical mechanisms of stone fragmentation appear to be quite different in the two cases. Using high-speed photography, measurement of acoustic transients, time-resolved optical emission spectroscopy, and direct microscopic observation, we have analyzed the interaction of the Ho:YAG laser with both water and gallstones. We propose a new model in which fragmentation begins with absorption of the laser light by the stone surface. This is followed by melting and ejection of stone material, which is then swept away by the vapor bubble formed by the absorption of the Ho:YAG laser light by water. This model is in excellent agreement with our experimental observations, and differs substantially from the model developed by Teng et al. for laser lithotripsy using the visible pulsed-dye laser.

Acoustics↗

Comparison of holmium and flashlamp pumped dye lasers for use in lithotripsy of biliary calculi.

The characteristics of laser lithotripsy of biliary calculi are compared for a flashlamp pumped dye laser (lambda = 640 nm) and a Cr:Tm:Ho-YAG laser (lambda = 2.1 microns). Data on fragmentation efficiency with respect to laser power and pulse repetition rate are presented for different types of stones. It is shown that both lasers can produce effective stone fragmentation. The laser power required for efficient fragmentation characteristics is significantly less for the visible wavelength laser. However, the problems associated with damage to the fiber tips of the delivery system during operation were found to be less with the near infrared wavelength. The laser power for efficient fragmentation with the dye laser varies significantly for different types of stones while the power for efficient fragmentation with the holmium laser is the same for all stones.

Cholelithiasis↗