Excimer laser technology in percutaneous coronary interventions: Cardiovascular laser society's position paper

被引：14

作者：

Golino, L. ^{[1
]}

Caiazzo, G. ^{[1
]}

Calabro, P. ^{[2
]}

Colombo, A. ^{[3
]}

Contarini, M. ^{[4
]}

Fedele, F. ^{[5
]}

Gabrielli, G. ^{[6
]}

Galassi, A. R. ^{[7
]}

Golino, P. ^{[8
]}

di Uccio, F. Scotto ^{[9
]}

Tarantini, G. ^{[10
]}

Argentino, V ^{[13
]}

Balbi, M. ^{[14
]}

Bernardi, G. ^{[15
]}

Boccalatte, M. ^{[16
]}

Bonmassari, R. ^{[17
]}

Bottiglieri, G. ^{[18
]}

Caramanno, G. ^{[19
]}

Cesaro, F. ^{[20
]}

Cigala, E. ^{[21
]}

Chizzola, G. ^{[22
]}

Di Lorenzo, E. ^{[12
]}

Intorcia, A. ^{[12
]}

Fattore, L. ^{[1
]}

Galli, S. ^{[23
]}

Gerosa, G. ^{[24
]}

Giannotta, D. ^{[25
]}

Grossi, P. ^{[26
]}

Monda, V ^{[21
]}

Mucaj, A. ^{[6
]}

Napodano, M. ^{[10
]}

Nicosia, A. ^{[27
]}

Perrotta, R. ^{[28
]}

Pieri, D. ^{[29
]}

Prati, F. ^{[30
]}

Ramazzotti, V ^{[30
]}

Romeo, F. ^{[36
]}

Rubino, A. ^{[29
]}

Russolillo, E. ^{[31
]}

Spedicato, L. ^{[32
]}

Tuccillo, B. ^{[9
]}

Tumscitz, C. ^{[33
]}

Vigna, C. ^{[34
]}

Bertinato, L. ^{[35
]}

Armigliato, P. ^{[11
]}

Ambrosini, V ^{[12
]}

机构：

[1] Presidio Osped S Giuseppe Moscati, UOC Cardiol UTIC, Lab Emodinam & Cardiol Interventist, Via Antonio Gramsci, I-81031 Aversa, Caserta, Italy

[2] Univ Campania Luigi Vanvitelli, UOC Cardiol Clin Direz Univ AORN St Anna & San Se, Dipartimento Med Traslaz, Cattedra Cardiol, Caserta, Italy

[3] Ctr Cuore Columbus, Cardiol Interventist, Milan, Italy

[4] Presidio Osped Umberto I Siracusa, Cardiol & Lab Emodinam, Syracuse, Italy

[5] Azienda Osped Univ Policlin Umberto I, Cattedra Cardiol, Rome, Italy

[6] Azienda Osped Univ, Osped Riuniti, Cardiol Interventist, Ancona, Italy

[7] Azienda Osped Univ, Policlin P Giaccone, Cattedra Cardiol, Palermo, Italy

[8] Univ Campania Luigi Vanvitelli, Co Osped Monaldi, Sez Cardiol, Dipartimento Sci Medicotranslaz,Cattedra Cardiol, Naples, Italy

[9] Cardiol Interventist Osped Mare, Naples, Italy

[10] Azienda Osped Padova, Unita Operat Semplice Dipartimentale Emodinam & C, Dipartimento Strutturale Aziendale Cardiotoracova, Padua, Italy

[11] Sci Board Cardiovasc Laser Soc, Rome, Italy

[12] AORN S Giuseppe Moscati, Cardiol & Lab Emodinam, Avellino, Italy

[13] Azienda Osped Emergenza Cannizzaro, Cardiol Interventist, Catania, Italy

[14] IRCCS Azienda Osped Univ S Martino, Cardiol Interventist, Genoa, Italy

[15] Osped S Maria degli Angeli, Assoc Ric Cardiol, Pordenone, Italy

[16] Lab Emodinam PO S Maria delle Grazie ASL NA2, Naples, Italy

[17] Presidio Osped S Chiara, Cardiol Interventist, Trento, Italy

[18] Osped SS Addolorata, Cardiol Interventist, Salerno, Italy

[19] Presidio Osped S Giovanni di Dio, Cardiol Interventist, Agrigento, Italy

[20] Cardiol Univ Luigi Vanvitelli, Caserta, Italy

[21] Osped Monaldi, Azienda Osped Colli, Cardiol Interventist, Naples, Italy

[22] Azienda Osped Univ Spedali Civili, Cardiol Interventist, Brescia, Italy

[23] IRCCS Ctr Cardiol Monzino, Cardiol Interventist, Milan, Italy

[24] Univ Padua, Dipartimento Sci Cardiotoracovasc & Sanita Pubbl, Padua, Italy

[25] Presidio Osped Gravina & Santo Pietro, Cardiol, Catania, Italy

[26] Presidio Osped Mazzoni, Cardiol & Lab Emodinam, Ascoli Piceno, Italy

[27] Presidio Osped Giovanni Paolo II, Cardiol Interventist, Ragusa, Italy

[28] Azienda Osped S Anna & S Sebastiano, Cardiol Interventist, Caserta, Italy

[29] Presidio Osped GF Ingrassia, Cardiol Interventist, Palermo, Italy

[30] Azienda Osped S Giovanni Addolorata, Cardiol Urgenza Interventist, Rome, Italy

[31] Osped S Giovanni Bosco, Cardiol Interventist, Naples, Italy

[32] Azienda Osped Univ S Maria della Misericordia, Cardiol Interventist, Udine, Italy

[33] Azienda Osped Univ, Cattedra Cardiol, Ferrara, Italy

[34] IRCCS Casa Sollievo Sofferenza, Cardiol Interventist, Foggia, Italy

[35] Ist Super Sanita, Clin Governance, Florence, Italy

[36] UniCamillus Int Med Univ, Rome, Italy

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2022年 / 350卷

关键词：

ELCA; Laser angioplasty; Severe calcific lesions; Thrombotic lesions; Chronic occlusions; Stent under-expansion; ACUTE MYOCARDIAL-INFARCTION; IN-STENT RESTENOSIS; ANGIOPLASTY; MANAGEMENT; THROMBUS; BALLOON; ATHERECTOMY; THERAPY; LESIONS;

D O I：

10.1016/j.ijcard.2021.12.054

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Excimer Laser Coronary Atherectomy (ELCA) is a well-established therapy that emerged for the treatment of peripheral vascular atherosclerosis in the late 1980s, at a time when catheters and materials were rudimentary and associated with the most serious complications. Refinements in catheter technology and the introduction of improved laser techniques have led to their effective use for the treatment of a wide spectrum of complex coronary lesions, such as thrombotic lesions, severe calcific lesions, non-crossable or non-expandable lesions, chronic occlusions, and stent under-expansion. The gradual introduction of high-energy strategies combined with the contrast infusion technique has enabled us to treat an increasing number of complex cases with a low rate of periprocedural complications. Currently, the use of the ELCA has also been demonstrated to be effective in acute coronary syndrome (ACS), especially in the context of large thrombotic lesions.

引用

页码：19 / 26

页数：8

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