Recent advances in infrared laser lithotripsy
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- 1 September 2018
- journal article
- review article
- Published by Optica Publishing Group in Biomedical Optics Express
- Vol. 9 (9), 4552-4568
- https://doi.org/10.1364/BOE.9.004552
Abstract
The flashlamp-pumped, solid-state, pulsed, mid-infrared, holmium: YAG laser (lambda = 2120 nm) has been the clinical gold standard laser for lithotripsy for over the past two decades. However, while the holmium laser is the dominant laser technology in ureteroscopy because it efficiently ablates all urinary stone types, this mature laser technology has several fundamental limitations. Alternative, mid-IR laser technologies, including a thulium fiber laser (lambda = 1908 and 1940 nm), a thulium: YAG laser (lambda = 2010 nm), and an erbium: YAG laser (lambda = 2940 nm) have also been explored for lithotripsy. The capabilities and limitations of these mid-IR lasers are reviewed in the context of the quest for an ideal laser lithotripsy system capable of providing both rapid and safe ablation of urinary stones. (C) 2018 Optical Society of America under the terms of the OSA Open Access Publishing Agreement.Keywords
This publication has 104 references indexed in Scilit:
- Damage of Stone Baskets by Endourologic Lithotripters: A Laboratory Study of 5 Lithotripters and 4 Basket TypesAdvances in Urology, 2013
- Durability of Reusable Holmium:YAG Laser Fibers: A Multicenter StudyJournal of Urology, 2011
- Urinary calculus fragmentation during Ho: YAG and Er:YAG lithotripsyLasers in Surgery and Medicine, 2005
- Effect of Holmium:YAG Laser Pulse Width on Lithotripsy Retropulsion in VitroJournal of Endourology, 2005
- Thulium fiber laser lithotripsy: An in vitro analysis of stone fragmentation using a modulated 110-watt Thulium fiber laser at 1.94 µmLasers in Surgery and Medicine, 2005
- Soft and hard tissue ablation with short-pulse high peak power and continuous thulium-silica fibre lasersLasers in Medical Science, 2003
- A Perspective on Laser Lithotripsy: The Fragmentation ProcessesJournal of Endourology, 2001
- ERBIUM:YAG VERSUS HOLMIUM:YAG LITHOTRIPSYJournal of Urology, 2001
- Free Electron Laser Lithotripsy: Threshold Radiant ExposuresJournal of Endourology, 2000
- Holmium:YAG laser lithotripsy: A dominant photothermal ablative mechanism with chemical decomposition of urinary calculiLasers in Surgery and Medicine, 1999