Comparison of TFL and high-power Ho: YAG lasers with multiple pulse modulations: an in vitro study - Summary - MDSpire

Comparison of TFL and high-power Ho: YAG lasers with multiple pulse modulations: an in vitro study

  • By

  • Alejandra Bravo-Balado

  • Antoni Sánchez-Puy

  • Paula Izquierdo

  • Pietro Diana

  • Alberto Piana

  • Damiano Stracci

  • Paola Arena

  • Sílvia Gràcia Garcia

  • Andrés Koey Kanashiro

  • Félix Millán

  • Francisco Sánchez-Martín

  • Cristina Esquinas

  • Oriol Angerri

  • Olivier Traxer

  • Joan Palou

  • Esteban Emiliani

  • June 18, 2026

  • 0 min

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Objective:

To compare the ablation volume achieved by Thulium Fiber Laser (TFL) and next-generation pulse-modulated Holmium: YAG technologies using an artificial stone model.

Approach:
    Key Findings:
    • TFL demonstrated superior ablation efficiency compared to traditional Ho: YAG lasers.
    • Pulse-modulated Ho: YAG technologies showed varying performance based on modulation type.
    • The influence of laser fiber diameter on lithotripsy efficiency remains debated.
    Interpretation:

    The study provides insights into the comparative effectiveness of TFL and advanced Ho: YAG technologies in lithotripsy, highlighting the potential advantages of TFL.

    Limitations:
    • The study was conducted in vitro, which may not fully replicate in vivo conditions.
    • The influence of laser fiber diameter was not conclusively determined.
    Conclusion:

    The findings suggest that TFL may offer advantages in lithotripsy efficiency, warranting further investigation in clinical settings.

Original Source(s)

Comparison of TFL and high-power Ho: YAG lasers with multiple pulse modulations: an in vitro study

  • by Alejandra Bravo-Balado, Antoni Sánchez-Puy, Paula Izquierdo, Pietro Diana, Alberto Piana, Damiano Stracci, Paola Arena, Sílvia Gràcia Garcia, Andrés Koey Kanashiro, Félix Millán, Francisco Sánchez-Martín, Cristina Esquinas, Oriol Angerri, Olivier Traxer, Joan Palou, Esteban Emiliani

  • June 18, 2026

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