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Review
. 2024 May;103(6):917-923.
doi: 10.1002/ccd.31037. Epub 2024 Apr 12.

A novel approach to saline/contrast delivery in excimer laser coronary atherectomy (ELCA) to enhance efficacy: MAXCon ELCA technique

Brian C Case  1 , Najdat Bazarbashi  2   3 , Adam Johnson  3 , Toby Rogers  1   4 , Itsik Ben-Dor  1 , Lowell F Satler  1 , Ron Waksman  1 , Hayder D Hashim  1 , Robert Gallino  1 , Nelson L Bernardo  1
Affiliations
Review

A novel approach to saline/contrast delivery in excimer laser coronary atherectomy (ELCA) to enhance efficacy: MAXCon ELCA technique

Brian C Case et al. Catheter Cardiovasc Interv. 2024 May.

Abstract

The advent of excimer laser coronary atherectomy (ELCA) nearly four decades ago heralded a novel way to treat complex lesions, both coronary and peripheral, which were previously untraversable and thus untreatable. These complex lesions include heavily calcified lesions, ostial lesions, bifurcation lesions, chronic total occlusions, in-stent restenosis (including stent underexpansion), and degenerative saphenous vein grafts. We discuss the technology of ELCA, its indications, applications, and complications, and suggest the "MAXCon ELCA" technique for better outcomes without increased risk. Lastly, we present a case of MAXCon ELCA effectively treating a complex lesion.

Keywords: calcium; contrast; coronary; laser atherectomy; peripheral; saline.

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References

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