Excimer Laser Use in Percutaneous Coronary Intervention

█ Review

DOI: 10.26430/CHUNGARICA.2020.50.6.404

Authors:
Judit Karácsonyi^{1, 2}, J. Roberto Martínez-Parachini³, Imre Ungi², András Katona², Viktor Sasi², Ferenc T. Nagy², Evangelia Vemmou¹, Ilias D. Nikolakopoulos¹, Bavana V. Rangan¹, Emmanouil S. Brilakis^1
1Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA
²Division of Invasive Cardiology, Second Department of Internal Medicine and Cardiology Center, University of Szeged, Szeged, Hungary
³Vanderbilt University Medical Center, Nashville, TN, USA

Summary

Excimer laser coronary atherectomy (ELCA) can be used during complex percutaneous coronary interventions (PCIs) to debulk and modify the tissue with photochemical, photothermal, and photokinetic mechanisms without causing significant vessel injury. ELCA can facilitate treatment of balloon uncrossable, balloon undilatable, in-stent restenotic, saphenous vein graft and thrombotic lesions. Potential complications include perforation and dissection. Judicious use of ELCA can improve the outcomes of complex PCI.

ISSUE: CARDIOLOGIA HUNGARICA | 2020 | VOLUME 50, ISSUE 6

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