Thulium fiber laser: the new player for kidney stone treatment? A comparison with Holmium:YAG laser - Takeaways - MDSpire

Thulium fiber laser: the new player for kidney stone treatment? A comparison with Holmium:YAG laser

  • By

  • Olivier Traxer

  • Etienne Xavier Keller

  • February 6, 2019

  • 0 min

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  • 1

    Holmium:YAG laser has been the gold standard for laser lithotripsy due to its effective fragmentation of all urinary stone types.

  • 2

    Thulium fiber laser offers potential advantages over Holmium:YAG, including improved operating modes for laser lithotripsy.

  • 3

    Holmium:YAG laser operates at 2120 nm, providing high absorption in water, which enhances its safety profile during procedures.

  • 4

    Thulium fiber laser operates at 1940 nm, closer to the water absorption peak, potentially improving its effectiveness in stone fragmentation.

  • 5

    Recent studies suggest that water vaporization and thermal expansion play significant roles in the ablation mechanisms of kidney stones.

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