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Review
. 2019 Apr;20(4):293-302.
doi: 10.1016/j.carrev.2018.10.022. Epub 2018 Oct 26.

Simple percutaneous coronary interventions using the modification of complex coronary lesion with excimer laser

Keisuke Nakabayashi  1 , Daisuke Sunaga  2 , Nobuhito Kaneko  2 , Akihiro Matsui  2 , Kazuhiko Tanaka  2 , Hiroshi Ando  2 , Minoru Shimizu  2
Affiliations
Review

Simple percutaneous coronary interventions using the modification of complex coronary lesion with excimer laser

Keisuke Nakabayashi et al. Cardiovasc Revasc Med. 2019 Apr.

Abstract

Excimer laser coronary atherectomy (ELCA), a unique percutaneous coronary intervention (PCI) device, comprises a monorail-type system and is compatible with any standard 0.014-inch guidewire. ELCA is the only device that vaporizes the atherosclerotic plaques or modifies underlying plaque located underneath to a hard tissue, such as severe calcification or a stent. Therefore, ELCA differs from other coronary atherectomy devices and is useful for patients with acute coronary syndrome, chronic total occlusion or under-expanded stents. This case series reports on patients treated using ELCA to simplify complex PCI procedures. Furthermore, we review and discuss ELCA in several situations.

Keywords: Debulking device; Excimer laser coronary atherectomy; Percutaneous coronary intervention; Plaque modification.

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