Influence of carbon dioxide gas perfusion to thermal distribution of sapphire probe. A comparative study with saline.
RATIONALE AND OBJECTIVES: A previous study confirmed that the direct laser-thermal conduction of the sapphire probe with carbon dioxide gas perfusion increased the width of the laser-recanalized channel. This caused us to further investigate the thermal distribution characteristics of the sapphire probe when lasing with CO2 gas perfusion. METHODS: The surface temperature of a sapphire probe in a circulation model using 37 degrees C flowing whole blood was measured. Two hundred and sixteen measurements were obtained by directly contacting a flexible thermocouple wire onto the sapphire probe at different sites: 1) metal connector; 2) lateral side of the sapphire crystal; 3) top of the sapphire crystal; and 4) 3 mm in front of the sapphire probe. During lasing with a neodymium-yttrium-aluminum garnet (Nd-YAG) laser, the CO2 gas or saline was infused through the sapphire probe at different flow rates. RESULTS: The lateral side of the sapphire crystal was heated up to 75 degrees C when lasing without any perfusion, but up to 220 degrees C when lasing with CO2 gas perfusion. At all four sites, the mean temperature increases were statistically higher (P < .01) with CO2 gas than with saline perfusion. The mean peak temperatures increased with increasing flows of CO2 gas perfusion and decreased with increasing flows of saline perfusion. CONCLUSIONS: The thermal conduction from the sapphire probe can be significantly enhanced by increasing flows of CO2 gas perfusion. This may play an important role in creating a greater diameter of the recanalized channel and in better delaying the formation of restenosis or re-occlusion after laser recanalization of atheromatous arteries.