Journal: Frontiers in Cardiovascular Medicine
Article Title: Endovascular Debulking of Human Carotid Plaques by Using an Excimer Laser Combined With Balloon Angioplasty: An ex vivo Study
doi: 10.3389/fcvm.2021.700497
Figure Lengend Snippet: In vivo carotid arteries and ex vivo treated plaques with co-registration between CTA, Micro-CT, 3D reconstruction, and histology in longitudinal and transversal views. Three-dimensional reconstruction of the lumen of carotid arteries ( A0, B0 , and C0 ) and treated plaques ( A2, B2 , and C2 ) based on images from CTA and Micro-CT. The reconstructed lumen of in vivo plaque before the experiment ( A1, B1 , and C1 ) was cropped from the reconstructed arteries. Perspective view of the plaque taken by Micro-CT ( A3, B3 , and C3 ). The cross-sections of CTA ( A4, B4 , and C4 ) and Micro-CT ( A5, B5 , and C5 ) correspond to the levels demonstrated in A1, B1, and C1 and in A2, B2, and C2 ( blue and red ). White arrow indicates the internal carotid artery. Hematoxylin–eosin staining ( A6, B6 , and C6 ), Masson trichrome staining ( A7, B7 , and C7 ), and Movat's pentachrome staining ( A8, B8 , and C8 ) correspond to the cross-sections of Micro-CT. Red arrows indicate the curved boundaries of the plaque lumen after excimer laser debulking. Blue arrows indicate the cracks produced by balloon angioplasty. CTA, computed tomography angiography; Micro CT, micro-computed tomography; 3D reconstruction, three-dimensional construction. * p < 0.05, ** p < 0.01. (A) CTA, Micro-CT, and histological images of sample from group 1. (B) CTA, Micro-CT, and histological images of sample from group 3. (C) CTA, Micro-CT, and histological images of sample from group 2. (D) Mean lumen area of plaques in group 1 before and after treatment. (E) Mean lumen area of plaques in group 3 before and after treatment. (F) Mean lumen area of plaques in group 2 before and after treatment.
Article Snippet: The 308-nm XeCl excimer laser system (CVX-300 Spectranetics ® Philips, San Diego, CA, USA) was operated at an energy of 45 mJ/mm 2 and a repetition rate of 25 Hz.
Techniques: In Vivo, Ex Vivo, Micro-CT, Staining, Produced, Computed Tomography