Circulation, Vol 80, 189-197, Copyright © 1989 by American Heart Association
PG Steg, AJ Rongione, D Gal, ST DeJesus, RH Clarke and JM Isner
Recent studies have shown that continuous wave laser irradiation induces
contraction of vascular smooth muscle, except at powers far below the
threshold for tissue ablation. To determine the corresponding effects of
pulsed laser irradiation on vascular smooth muscle tone, vascular rings of
rabbit thoracic aorta were mounted isometrically with 1 g tension in
Krebs-bicarbonate buffer and irradiated with 308 or 351 nm from an excimer
laser through a 400-microns optical fiber. A total of 250 exposures were
performed with 1-6.5 mJ/pulse (fluence = 0.8-5.5 J/cm2), 10-50 Hz, and
cumulative exposures of 10-120 seconds. Excimer laser irradiation in
combinations of pulse energy (PE), repetition rate (RR), and cumulative
exposure below, at, or above threshold for tissue ablation consistently
produced relaxation unassociated with contraction in each of the 250
exposures. For the total 250 exposures, the magnitude of relaxation
(reduction in recorded tension, Rmax) was 55 +/- 4% (mean +/- SEM) of
maximum vasomotor reactivity recorded in the specimen in response to
administration of serotonin. Rmax varied directly with both PE and RR. When
PE was increased from 1 to 5 mJ/pulse (n = 13), Rmax increased from 57 +/-
19% to 80 +/- 19% (p less than 0.0001); when RR was increased from 10 to 50
Hz (n = 10), Rmax increased from 27 +/- 8 to 46 +/- 8 (p less than 0.0001).
Rmax varied independently of endothelial integrity (assessed anatomically
and pharmacologically) and wavelength (308 vs. 351 nm). Simultaneously
recorded tissue-temperature profiles disclosed that during pulsed laser
irradiation, tissue temperature rise did not exceed 5 degrees C.(ABSTRACT
TRUNCATED AT 250 WORDS)
ARTICLES
Pulsed ultraviolet laser irradiation produces endothelium-independent relaxation of vascular smooth muscle
Department of Medicine, St. Elizabeth's Hospital, Tufts University School of Medicine, Boston, Massachusetts 02135.
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