[Hemostatic effect of the Nd:YAG laser in cw function].

The Nd:YAG laser may be effectively employed to induce blood flow stasis and vessel closure in rabbits. The mechanism by which these effects are achieved depends upon the nature of the primary absorbing structures in the irradiated tissue, as well as upon the energy level of radiation. Vascular wall damage occasioned in consequence of energy absorption in melanin granules triggers blood flow stasis according to the classic clotting cascade, defects in the endothelial cell wall being closed by aggregated platelets. In tissue lacking melanin pigmentation, energy is absorbed primarily by the haemoglobin of erythrocytes, and blood flow is arrested by coagulation of plasma proteins, platelets being absent from the impact centre. The portent of these different haemostatic mechanisms upon repair of the endothelial cell wall and neovascularization have yet to be determined.