Photodynamic Therapy of Atherosclerosis Using YAG-OPO Laser and Porfimer Sodium, and Comparison With Using Argon-Dye Laser

• Published in: JAPANESE CIRCULATION JOURNAL Vol. 63; no. 4; pp. 288 - 295
• Main Authors: Amemiya, Tadashi, Nakajima, Hitoshi, Katoh, Tomitsugu, Rakue, Hiroyuki, Miyagi, Manabu, Ibukiyama, Chiharu
• Format: Journal Article
• Language: English
• Published: Kyoto The Japanese Circulation Society 1999; Japanese Circulation Society
• Subjects: Animals; Antineoplastic Agents - therapeutic use; Ar-dye laser; Arteriosclerosis - chemically induced; Arteriosclerosis - drug therapy; Arteriosclerosis - pathology; Atherosclerosis; Atherosclerosis (general aspects, experimental research); Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Cholesterol, Dietary - administration & dosage; Diet, Atherogenic; Dihematoporphyrin Ether - therapeutic use; Lasers; Medical sciences; Photochemotherapy - instrumentation; Photodynamic therapy; Photofrin; Rabbits; YAG-OPO laser; Photodynamic therapy; YAG laser; Rabbit; Cardiovascular disease; Lagomorpha; Vascular disease; Dye laser; Pathology; Vertebrata; Optical microscopy; Mammalia; Treatment; Animal; Atherosclerosis; Technique; Argon
• ISSN: 0047-1828; 1347-4839
• DOI: 10.1253/jcj.63.288

We performed photodynamic therapy (PDT) using the Yttrium Aluminium Garnet-Optical Parametric Oscillated (YAG-OPO) laser in cases of atherosclerosis, and examined its efficacy in vivo. We also performed PDT using an Argon-dye (Ar-dye) laser with the same output, and compared the efficacies. Following balloon denudation injury of the thoracoabdominal aorta, rabbits were raised on a cholesterol diet for 16 weeks, producing atheroma in that region. At 24 h following the administration of Photofrin 5 mg/kg, PDT was performed, and animals were sacrificed at 1 day, 1 week, and 2 weeks following the procedure to examine its efficacy. This was compared with the efficacy of PDT using the Ar-dye laser. Following PDT using a YAG-OPO laser, an increase in the vessel lumen was seen due to reduction of the hypertrophic intima and media, without the appearance of inflammatory cells. This result was seen more strongly in PDT using the pulse wave YAG-OPO laser than with the continuous wave Ar-dye laser, affecting not just the intima but also the media. These data demonstrated that PDT can effectively regress atherosclerotic lesions. (Jpn Circ J 1999; 63: 288 - 295)