Medical Balloons - Applications - Light Therapy / Photodynamic Therapy
PET balloons are optically clear and permit the transmission of light over a broad
spectrum, making if well suited for Photo Dynamic Therapy (PDT) with light-activated
drugs. The simultaneous application of heat and pressure during laser balloon angioplasty
of coronary arteries reduces arterial recoil, remodels thrombus into a non-obstructive
film, eliminates vasospasm, and may seal dissections induced during initial conventional
PTCA1. Devices mounted inside the balloon can emit light through the
wall of the balloon.
PDT is currently being used in the treatment of Barretts esophagus. Barretts
esophagus is a pre-cancer condition that is being experimentally treated by a light
activated drug. In this treatment, the patient is given an intravenous drug treatment
1 to 2 days before light therapy. A laser delivery device is mounted inside a specially
designed balloon catheter and introduced into the patients esophagus. The
balloon is inflated in the treatment area and the laser is activated. The laser
light is emitted through the clear window portion of the balloon and
the drug is activated which in turn destroys the bad cells. The inflated PDT balloon
opens the esophagus, which is normally collapsed, and centers the laser delivery
device. The opaque coating on the ends of the balloon prevents the light from treating
other healthy areas of the organ so that only the cells exposed to the light are
destroyed.
The balloon catheters pictured are used to deliver laser light energy to the
esophagus for the treatment of Barret's esophagus. The various "window lengths"
provide optical treatment areas.
Photo courtesy of Wilson-Cook Medical, Inc.
Footnote
1 James J. Glazier, MD, Alice J. Jiang, MD, Richard J. Crilly, PhD, and
Richard Spears, MD., "Laser balloon angioplasty combined with local intracoronary
heparin therapy: Immediate and short-term follow-up results", American Heart Journal,
1997;134(2)(1):266-273..
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