Laser angioplasty in coronary chronic total occlusion (CTO). First hungarian experiences
█ Case report
Katona András, Sasi Viktor, Karácsonyi Judit, Ungi Imre
Szegedi Tudományegyetem, Általános Orvostudományi Kar, II. sz. Belgyógyászati Klinika és Kardiológiai Központ, Szeged
In chronic total occlusions (CTOs) percutaneous coronary intervention (PCI) balloon uncrossable lesions are relatively common, these are lesions which cannot be crossed with a balloon or a microcatheter after successful intraluminal advancement of the guidewire distal to the lesion. Laser atherectomy could assist in the treatment of such lesions, especially because it does not require a dedicated guidewire compared to rotational atherectomy. In this report we share the first Hungarian experience about laser atherectomy of coronaries, which is widely used in other fields of medicine. In the first case the laser successfully crossed a balloon uncrossable lesion, while in the second case the laser assisted the rotational atherectomy. Both cases resulted in successful CTO recanalization without any procedural complications.