Perspectives of coronary excimer laser angioplasty: Multiplexing, saline flushing, and acoustic ablation control

Haase, Karl K.; Rose, Carsten; Duda, Stephan H.; Baumbach, Andreas; Oberhoff, Martin; Anthanasiadis, Anastasios; Karsch, Karl R.

doi:10.1002/(sici)1096-9101(1997)21:1<72::aid-lsm11>3.3.co;2-b

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“…Furthermore, the disappearance from the market of directional coronary atherectomy has restricted the choice of debulking technique to rotablation or excimer laser coronary angioplasty (ELCA). The new generation of excimer laser catheters has been shown to be safer than the previous laser catheters due to less heat production, as the radiation wavelength of 308 nm is in the ultraviolet spectrum (cool laser), and due to better deployment of energy (continuous saline flush and slow catheter advancement) 7 . These improvements led to an increasing use of ELCA in coronary interventions.…”

Section: Introductionmentioning

confidence: 99%

A Complex Case of Angulated and Bifurcated Lesion Facilitated by Excimer Laser Coronary Angioplasty

Niccoli

Minelli

Cosentino

et al. 2011

Journal of Interventional Cardiology

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Angulated lesions have been shown to be associated with abrupt closure or periprocedural myocardial injury. In particular, when disease is present at the level of the angulated or bifurcated lesion, balloon dilatation may help in wire crossing but it may also cause branch occlusion. Several methods and devices have been described to manipulate coronary guidewires across angulated and bifurcated lesions. This case report describes a highly angulated coronary bifurcated lesion where, after the failure of multiple wires to cross the lesion toward the main branch, it was successfully crossed after excimer laser debulking, which facilitated the wire crossing into the main branch, without causing branch occlusion.

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Section: Introductionmentioning

confidence: 99%