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

被引:11
作者
Nakabayashi, Keisuke [1 ]
Sunaga, Daisuke [1 ]
Kaneko, Nobuhito [1 ]
Matsui, Akihiro [1 ]
Tanaka, Kazuhiko [1 ]
Ando, Hiroshi [1 ]
Shimizu, Minoru [1 ]
机构
[1] Kasukahe Chuo Gen Hosp, Heart Ctr, Saitama, Japan
关键词
Excimer laser coronary atherectomy; Percutaneous coronary intervention; Debulking device; Plaque modification; IN-STENT RESTENOSIS; INTRAVASCULAR ULTRASOUND ANALYSIS; ACUTE MYOCARDIAL-INFARCTION; BALLOON ANGIOPLASTY; PULSED-WAVE; IMPLANTATION; ENERGY; RECANALIZATION; MECHANISMS; CATHETER;
D O I
10.1016/j.carrev.2018.10.022
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:293 / 302
页数:10
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