Excimer Laser Use in Percutaneous Coronary Intervention
Judit Karácsonyi1, 2, J. Roberto Martínez-Parachini3, Imre Ungi2, András Katona2, Viktor Sasi2, Ferenc T. Nagy2, Evangelia Vemmou1, Ilias D. Nikolakopoulos1, Bavana V. Rangan1, Emmanouil S. Brilakis1
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
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.