Human arterial surface fluorescence: atherosclerotic plaque identification and effects of laser atheroma ablation

In vivo plaque recognition may be important for safe and precise intra-arterial atheroma ablation during laser coronary angioplasty. This study examined the feasibility and sensitivity of utilizing quantitative fluorescence spectroscopy and video-enhanced fluorescence imaging for plaque identification in atherosclerotic human necropsy arterial wall before and after laser atheroma ablation. With wide-band (450 to 490 nm) blue light excitation, the 540 nm fluorescence intensity ratio of normal to diseased sites (n = 13) was 2.09 +/- 0.82 (p less than 0.001) and video fluorescence imaging provided enhanced delineation of atheroma surface characteristics. Continuous argon and pulsed excimer (308 nm) laser ablation of atheroma decreased fluorescence intensity ratios by 42 and 20% (p less than 0.001), respectively (that is, from abnormal to nearly normal). Low power 325 nm laser-excited fluorescence spectroscopy from normal (n = 115) and abnormal (n = 146) necropsy sites revealed an average 45% decrease in atheroma fluorescence intensity (p less than 0.0001) and changes in fluorescence spectra appearance that corresponded to plaque morphologic subtypes. Studies using a dual laser system combining 325 nm laser-excited fluorescence plaque recognition and a 480 nm pulsed dye laser for tissue ablation with common optical fibers demonstrated normalization of both fluorescence intensity and spectra appearance after laser atheroma ablation. Thus, in vitro analysis of surface arterial fluorescence by quantitative spectroscopy and video fluorescence imaging reliably differentiate plaque from normal tissue and may provide the feedback signal needed to activate a laser source for selective plaque removal.     

Study of the Wavelength Dependence in Laser Ablation of Advanced Ceramics and Glass-Ceramic Materials in the Nanosecond Range

In this work, geometrical dimensions and ablation yields as a function of the machining method and reference position were studied when advanced ceramics and glass-ceramic materials were machined with pulsed lasers in the nanosecond range. Two laser systems, emitting at 1064 and 532 nm, were used. It was shown that the features obtained depend on whether the substrate is processed by means of pulse bursts or by grooves. In particular, when the samples were processed by grooves, machined depth, removed volume and ablation yields reached their maximum, placing the sample out of focus. It was shown that these characteristics do not depend on the processing conditions, the wavelength or the optical configuration, and that this is intrinsic behavior of the processing method. Furthermore, the existence of a close relation between material hardness and ablation yields was demonstrated.     

Effect of Mechanical Pretreatments on Damage Mechanisms and Fracture Toughness in CFRP/Epoxy Joints

Adhesive bonding of carbon-fiber-reinforced polymers (CFRPs) is a key enabling technology for the assembly of lightweight structures. Surface pretreatment is necessary to remove contaminants related to material manufacturing and ensure bond reliability. The present experimental study focuses on the effect of mechanical abrasion on the damage mechanisms and fracture toughness of CFRP/epoxy joints. The analyzed CFRP plates were provided with a thin layer of surface epoxy matrix and featured enhanced sensitivity to surface preparation. Various degrees of morphological modification and fairly controllable carbon fiber exposure were obtained using sanding with emery paper and grit-blasting with glass particles. In the sanding process, different grit sizes of SiC paper were used, while the grit blasting treatment was carried by varying the sample-to-gun distance and the number of passes. Detailed surveys of surface topography and wettability were carried out using various methods, including scanning electron microscopy (SEM), contact profilometry, and wettability measurements. Mechanical tests were performed using double cantilever beam (DCB) adhesive joints. Two surface conditions were selected for the experiments: sanded interfaces mostly made of a polymer matrix and grit-blasted interfaces featuring a significant degree of exposed carbon fibers. Despite the different topographies, the selected surfaces displayed similar wettability. Besides, the adhesive joints with sanded interfaces had a smooth fracture response (steady-state crack growth). In contrast, the exposed fibers at grit-blasted interfaces enabled large-scale bridging and a significant R-curve behavior. While it is often predicated that quality composite joints require surfaces with a high percentage of the polymer matrix, our mechanical tests show that the exposure of carbon fibers can facilitate a remarkable toughening effect. These results open up for additional interesting prospects for future works concerning toughening of composite joints in automotive and aerospace applications.     

Selective absorption of ultraviolet laser energy by human atherosclerotic plaque treated with tetracycline

Tetracycline is an antibiotic that absorbs ultraviolet light at 355 nm and preferentially binds to atherosclerotic plaque both in vitro and in vivo. Tetracycline-treated human cadaveric aorta was compared with untreated aorta using several techniques: absorptive spectrophotometry, which demonstrated a distinct absorptive peak at 355 nm in tetracycline-treated plaque that was absent in treated normal vessel; ultraviolet microscopy, which showed that treated atheroma acquired the characteristic fluorescence of tetracycline under ultraviolet light; and tissue uptake of radiolabeled tetracycline, which showed 4-fold greater uptake by atheroma than by normal vessel. In addition, intravenous tetracycline administered to patients undergoing vascular surgery demonstrated characteristic fluorescence in surgically excised diseased arteries. Because of tetracycline's unique properties, we exposed tetracycline-treated and untreated aorta to ultraviolet laser radiation at a wavelength of 355 nm. We found enhanced ablation of tetracycline-treated atheroma compared with untreated atheroma. The plaque ablation caused by ultraviolet laser radiation was twice as extensive in tetracycline-treated vs nontreated plaque (2.2 +/- 0.25 mm vs 1.3 +/- 0.55 mm, p less than 0.017). This study demonstrates the potential of tetracycline plaque enhancement for the selective destruction of atheroma by ultraviolet laser radiation.     

Reduction of laser-induced pathologic tissue injury using pulsed energy delivery

Continuous-wave (CW) laser irradiation of cardiovascular tissues is characterized by 2 distinctive histologic findings: a superficial zone of coagulation necrosis and a subjacent zone of polymorphous lacunae. The present investigation was designed to determine whether such injury could be eliminated by altering the temporal profile of laser energy delivery. One hundred forty-five myocardial slices were irradiated with an air-tissue interface using CW laser irradiation at wavelengths of 488 to 515 nm (argon), 1,064 nm (Nd-YAG) and 10,600 nm (CO2). Pulsed laser irradiation included 248 nm (excimer); 355, 532 and 1,064 nm (Nd-YAG); and 515 nm (mode-locked argon). Energy profiles in the pulsed mode included a range of repetition rates (1 Hz to 256 MHz), pulse duration (0.2 to 358 ns) and pulse energies (2 nJ to 370 mJ). Resultant average powers were 0.1 to 38 W. Grossly visible charring of myocardial tissue was observed at all laser wavelengths when the laser energy profile was CW or pulsed at high repetition rates (more than 2 KHz) and low pulse energies (less than 3 mJ) independent of the wavelengths used. In contrast, when laser energy was pulsed at low repetition rates (less than 200 Hz) and large pulse energies (more than 10 mJ), neither gross nor histologic signs of thermal injury were observed. Pathologic injury associated with laser-induced tissue ablation may thus be substantially reduced by use of pulsed energy delivery at low repetition rates. Potential advantages of pulsed laser energy include a more benign healing process, a less thrombogenic surface, and improved preservation of structural tissue integrity.     

Interaction of Long Time Pulses of an Nd3+:YAG Laser Beam with the Heusler AlloyNi45Co5Mn35.5In14.5

In this paper, the laser processing of the surface of bulk and layered samples (of thickness 75 nm) of Ni₄₅Co₅Mn_35.5In_14.5 alloy (NC5MI) was investigated using microsecond laser pulses. A Q-switched pulsed Nd³⁺:YAG laser, operating in the 1st harmonic (which had a wavelength of 1064 nm) with a pulse duration of 250 µs, was used. NC5MI is a metal resistant to thermal laser processing because its reflection coefficient is close to unity for long wavelengths. The aim of this paper was to learn the forms of laser processing (heating, microprocessing, ablation) for which the above-specified type of laser is useful. The samples were irradiated with various fluences in the interval of 5–32 J·cm⁻². The effect of the laser interaction with the surface was explored by SEM microscopy. The threshold fluences for the bulk sample were determined as: the visible damage threshold (F_th^d = 2 ± 0.2 J·cm⁻²), the melting threshold (F_th^m = 10 ± 0.5 J·cm⁻²), and the deep melting threshold (F_th^dm = 32 J·cm⁻²). Unexpectedly, these values wereincreased for the layer sample due to its silicon substrate. We have concluded that this type of laser radiation is advantageous for the annealing and melting of, or drilling holes in, the alloy, but disadvantageousto the ablation of the alloy.     

Selective ablation of atheromas using a flashlamp-excited dye laser at 465 nm.

Ablation of human atheromas with laser pulses that had only a small effect on normal artery tissue was shown in vitro in air and under saline using 1-mu sec pulses at 465 nm from a flashlamp-excited dye laser. At this wavelength, there is preferential absorption in atheromas due to carotenoids. The threshold fluence for ablation was 6.8 +/- 2.0 J/cm2 for atheromas and 15.9 +/- 2.2 J/cm2 for normal aorta tissue. At a fluence of 18 J/cm2 per pulse, the ablated mass per unit of energy ranged from 161 to 370 micrograms/J for atheromas and from 50 to 74 micrograms/J for normal aorta tissue. Ablation products consisted of cholesterol crystals, shredded collagen fibers, and small bits of calcific material. Most debris was less than 100 micron in diameter, but a few pieces were as large as 300 micron. High-speed photography of ablation in air suggested explosive ejection of debris, caused by vapor formation, at speeds on the scale of 300 m/sec. Histological analysis showed minimal thermal damage to residual tissue. These data indicate that selective laser ablation of atheromas is possible in vitro.     

Ablation of rabbit liver, stomach, and colon with a pulsed holmium laser

A pulsed holmium laser (wavelength 2.1 microns, pulse duration 250 microseconds) was used to ablate rabbit liver, stomach, and colon in vivo. Microscopic examination of the tissues revealed zones of thermal damage extending 0.5-1.0 mm from ablation sites. In addition, ablation rates were measured using a mass loss technique and found to increase linearly with delivered radiant exposure. The threshold radiant exposure for ablation was calculated to be 50 J/cm2 with a heat of ablation of 7000 J/cm3. Because the holmium laser produces less thermal necrosis than current endoscopic laser systems, such as the continuous-wave neodymium:YAG laser, and because the ablation rate can be precisely controlled, the holmium laser shows promise as an alternative method for endoscopic removal of tissue.     

The interaction between excimer laser energy and vascular tissue

The effects of XeF1 excimer laser on isolated normal and atherosclerotic aorta were studied. Experiments were performed in flowing water at constant temperature, flow rate, water depth, pulse width (10 nsec), wavelength (351 nm), beam size (1 mm2) and focal length (50 cm). The number of pulses, the pulse energy, and the pulse frequency were varied, and the vascular tissue was studied histologically. The following observations were made: tissue ablation required a minimum threshold pulse energy and was nonlinearly proportional to the number of pulses and the pulse energy delivered; precise tissue ablation occurred at low pulse frequencies, but changes resembling a thermal process were seen as pulse frequency increased; calcified plaque was more photoresistant than atheroma or normal vessel; excimer laser energy was markedly attenuated by blood; and the time interval between pulses and high peak power are related to the precision of ablation by pulsed excimer laser. It is concluded that excimer laser can rapidly and precisely ablate vascular tissue by a photothermal process.     

Thermal Ablation Damage Analysis of CFRP Suffering from Lightning Based on Principles of Tomography

Coupled electrical–thermal finite element analysis (FEA) models are widely adopted to analyze the thermal ablation damage of carbon fiber reinforced polymer (CFRP) caused by lightning, but it is still difficult to analyze the ablation due to its complex space geometry. According to the principle of computerized tomography (CT), tomographic images of FEA models’ temperature fields with different thicknesses were obtained to calculate the mass loss and compare the damage morphology. The four areas including Area 0, Area I, Area II, and Area III; were separated from the temperature fields in terms of different vaporization and pyrolysis temperature ranges of carbon fiber (CF) and resin matrix. Ablation mass losses were calculated by pixel statistics and tomographic intervals, which were consistent with the experimental results. The maximum ablation area of unprotected CFRP was found on the tomography images of 50 μm rather than the surface by comparing tomographic images with different thickness due to the influence of the thermal radiation, but this effect was not found in CFRP protected by copper mesh. Some other phenomena, including continuous evolutions of ablation areas and the influence of the intersection angle on the direction of the ablation extension, were also discovered.     

Study on the Hydrophobic Modification of MTES/NH3 Vapor Surface Treatment for SiO2 Broadband Anti-Reflection Coating

In this article, ammonia and methyltriethoxysilane (MTES) were chosen as vapor phase modifiers for the base-catalyzed SiO₂ film. The surface of the film became more dense because of the hydroxyl condensation under the catalyst of ammonia, while the introduction of methyl groups by MTES of vapor treatment hindered the condensation to avoid over-change in film thickness. The hydrophobic of film was improved while the surface roughness of the film increased after treatment. The treated double-layer broadband anti-reflection (AR) coating retains high optical properties with the transmittance of 99.61%, 98.85%, and 99.16% at 355 nm, 532 nm, and 1064 nm, respectively. After exposing to the high humidity condition for 30 days, the broadband AR coating after treatment shows good optical durability, and the transmittance at 355 nm only drops by 0.12%. This vapor surface treatment can find potential application in high-power laser systems and solar cells.     

Thin Films of Nanocrystalline Fe(pz)[Pt(CN)4] Deposited by Resonant Matrix-Assisted Pulsed Laser Evaporation

Prior studies of the thin film deposition of the metal-organic compound of Fe(pz)Pt[CN]₄ (pz = pyrazine) using the matrix-assisted pulsed laser evaporation (MAPLE) method, provided evidence for laser-induced decomposition of the molecular structure resulting in a significant downshift of the spin transition temperature. In this work we report new results obtained with a tunable pulsed laser, adjusted to water resonance absorption band with a maximum at 3080 nm, instead of 1064 nm laser, to overcome limitations related to laser–target interactions. Using this approach, we obtain uniform and functional thin films of Fe(pz)Pt[CN]₄ nanoparticles with an average thickness of 135 nm on Si and/or glass substrates. X-ray diffraction measurements show the crystalline structure of the film identical to that of the reference material. The temperature-dependent Raman spectroscopy indicates the spin transition in the temperature range of 275 to 290 K with 15 ± 3 K hysteresis. This result is confirmed by UV-Vis spectroscopy revealing an absorption band shift from 492 to 550 nm related to metal-to-ligand-charge-transfer (MLCT) for high and low spin states, respectively. Spin crossover is also observed with X-ray absorption spectroscopy, but due to soft X-ray-induced excited spin state trapping (SOXIESST) the transition is not complete and shifted towards lower temperatures.     

Luminescent Carbon Dots Synthesized by the Laser Ablation of Graphite in Polyethylenimine and Ethylenediamine

Fluorescent carbon dots (CDs) synthesized by pulsed laser ablation in liquid (PLAL) are still interesting materials due to their possible applications. However, unlike CDs produced by the hydrothermal method, CDs produced the synthesis products by the PLAL method were never separated by dialysis, which differentiates the synthesis products and allows the identification of the main source of fluorescence. In this work, the synthesis of fluorescent carbon dots (CDs) was performed by nanosecond laser ablation of a graphite target immersed in polyethyleneimine (PEI) and ethylenediamine (EDA), and the synthesis products were separated by dialysis. The results of optical measurements showed that the main source of luminescence of the obtained nanostructures are fluorescent particles or quasi-molecular fluorophores created in the ablation process. In the case of ablation in PEI, most of the produced molecular fluorophores are associated with carbogenic nanostructures, while in the case of EDA, free fluorescent molecules dominate.     

Photoacoustic fibrinolysis: Pulsed-wave, mid-infrared laser-clot interaction

Objectives The purpose of this study was to determine whether a mid-infrared laser can induce selective fibrinolysis and to analyze the effect of altered fibrin structure (thin vs. thick fibers) on laser-clot interaction.Background Mechanical disruption of thrombus can be achieved with balloon angioplasty, sonication, and thermal energy. Thrombi avidly absorb light in the mid-infrared optical spectrum due to their high water content. This phenomenon provides a potential for mid-infrared lasers as a source for selective thrombolysis. As fibrin is the essential component of clot, a study of mid-infrared laser-fibrin interaction is warranted.Methods Clots of varying fibrin structure were lased in cuvettes with a solid-state, pulsed-wave, mid-infrared laser (2.1 micron, 500 mJ/pulse, 250 msec pulse length). Total pulse energies of 5 Joules (J), 10 J, 37.5 J, 75 J, and 112.5 J were tested. Protein content of the extruded fluid was measured by optical density absorbance at 280 nm. The amount of released material was studied as a function of lasing energy and clot structure. SDS-polyacrylamide gel electrophoresis was applied for analysis of protein bands in order to identify unique protein bands released by the selective effect of laser fibrinolysis.Results A threshold for mid-infrared laser induced fibrinolysis was found; application of up to 20 J of energy did not result in dissolution. As lasing energy was increased above 37.5 J, the structure of these gels was mechanically destroyed and 12.4 ± 6.7% (mean ± SEM) of the original content of protein was released. Electrophoresis revealed that lased gels did not release any unique protein band. Lased, thin fibers released significantly less protein than thick fibers, indicating that they are more resistant to the effect of this wavelength of energy.Conclusions Mid-infrared laser can induce in-vitro photoacoustic dissolution of fibrin clots. However, this wave-length laser achieves fibrinolysis by mechanical destruction of the target clot rather than by a selective effect, as induced by the pulsed-dye laser. A threshold exists for energy levels required. Thin fibrin fibers, with their high elastic modulus (i.e., gel rigidity) appear more resistant than thick fibers to the effect of lasing at this wavelength.This work was supported in part by a research grant from Boston Scientific, Boston, MA.     

Establishment of Analytical Model for CFRP Cutting Force Considering the Radius of the Edge Circle

Carbon fiber-reinforced composite material (CFRP) has been widely applied in the aerospace industry, which places demanding requirements on the accuracy and quality of its processing. However, there remains a lack of clarity on the microscopic material removal process of CFRP, despite substantial relevant research. This paper aims to reveal the mechanism of material removal in the CFRP cutting process at different fiber cutting angles and to establish an analytical model for CFRP cutting force by considering the radius of the edge circle. Furthermore, the CFRP cutting force analytical model was established by considering the radius of the edge circle on the basis of the CFRP representative volume unit (RVE). According to the model, the cutting process was divided into three regions, the cutting slip zone, fiber fracture zone, and spring back zone, with consideration given to the effect of residual fibers on the cutter teeth. The CFRP cutting finite element model was defined using the software Abaqus, while the chip removal and single-fiber deformation processes were analyzed using the finite element model. As indicated by the experimental results, the analytical model is reliable and capable of providing cutting force values within a 15% deviation.     

Pulsed ultraviolet laser irradiation produces endothelium-independent relaxation of vascular smooth muscle

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)     

Novel Repair Procedure for CFRP Components Instead of EOL

Today, numerous carbon fiber (CF) reinforced plastic (CFRP) components are in continuous usage under harsh environmental conditions. New components often replace damaged structural parts in safety-critical applications. In addition to this, there is also no effective repair method to initially restore the mechanics of these structures using dry fiber material. The high costs of CFRP components are not in proportion to their lifetime. The research project IGF-19946 BR “CFRP-Repair” addresses this specific challenge. By using an oxide semiconductor that is activated by ultraviolet (UV) irradiation, the thermoset matrix can be depolymerized and thus locally removed from the damaged CFRP component. Afterward, the harmed fibers can be physically removed from the laminate in this certain area. A load-adjusted tailored fiber reinforcement patch is subsequently applied and consolidated by local thermoset re-infiltrating. Using this procedure, the structure can be locally repaired with new CF. As a result, repaired CFRP structures can be obtained with reduced mechanics and an approximately original surface. This article gives an insight into the developed repair procedure of CFRP components in an innovative and more efficient way than the state-of-the-art.     

Polarization Induced Deterioration of Reinforced Concrete with CFRP Anode

This paper investigates the deterioration of reinforced concrete with carbon fiber reinforced polymer (CFRP) anode after polarization. The steel in the concrete was first subjected to accelerated corrosion to various extents. Then, a polarization test was performed with the external attached CFRP as the anode and the steel reinforcement as the cathode. Carbon fiber reinforced mortar and conductive carbon paste as contact materials were used to adhere the CFRP anode to the concrete. Two current densities of 1244 and 2488 mA/m², corresponding to the steel reinforcements were applied for 25 days. Electrochemical parameters were monitored during the test period. The deterioration mechanism that occurred at the CFRP/contact material interface was investigated by scanning electron microscopy (SEM) and X-ray diffraction (XRD) techniques. The increase of feeding voltage and the failure of bonding was observed during polarization process, which might have resulted from the deterioration of the interface between the contact material and CFRP. The formation and accumulation of NaCl crystals at the contact material/CFRP interface were inferred to be the main causes of the failure at the interface.     

Fragmentation of biliary calculi with tunable dye lasers

The feasibility of using lasers to fragment biliary calculi was examined in vitro. Flashlamp-pumped tunable dye lasers were coupled to small-diameter flexible quartz fibers that were placed in direct contact with biliary calculi. The minimum laser energy necessary to damage a calculus was measured for wavelengths between 450 and 700 nm and for pulse durations between 0.8 and 360 microseconds. This threshold energy increased with increasing wavelength but was not significantly affected by pulse duration. Cholesterol stones had uniformly higher thresholds than pigmented ones. When a repetitively pulsed laser was used, complete fragmentation required fewer than 500 pulses and fragments were predominantly less than 2 mm. The pulsed dye laser can effectively fragment biliary calculi when transmitted through a small-diameter quartz fiber and may be useful as a tool for fragmenting retained common duct stones.     

A Fast Thermal 1D Model to Study Aerospace Material Response Behaviors in Uncontrolled Atmospheric Entries

A preliminary thermal 1D numerical model for studying the demise behavior of stainless steel 316L, silicon carbide (SiC) and carbon fiber reinforced polymer (CFRP) during uncontrolled atmospheric entry is proposed. Test case modeling results are compared to experimental data obtained in the framework of ESA Clean Space initiative: material samples were exposed to different heat flux conditions using the Plasma Wind Tunnel (PWT) facilities at the Institute of Space Systems (IRS) of the University of Stuttgart. This numerical model approximates the heating history of the selected materials by simulating their thermal response and temperature profiles, which have trends similar to the experimental curves that are found. Moreover, when high heat flux conditions are considered, the model simulates the materials’ mass loss due to the ablation process: at the end of the simulation, the difference between the experimental and the modeled results is about 17% for CFRP and 35% for stainless steel. To reduce the model’s uncertainties, the following analysis suggests the need to consider the influence of adequate material thermophysical properties and the physical-chemical processes that affect the samples’ temperature profile and mass loss.