Abstract
Percutaneous laser angioplasty is an established modality for the treatment of severe peripheral vascular disease and is generally used as an adjunct to balloon angioplasty. In the coronary circulation laser angioplasty is feasible, although its efficacy and safety remain to be defined. This article addresses the rationale for laser angioplasty, examines the influences of the various components of the laser system, and considers future direction given the accomplishments to date and the limitations of current instrumentation.
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