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Simple percutaneous coronary interventions using the modification of complex coronary lesion with excimer laser
Authors:Keisuke Nakabayashi  Daisuke Sunaga  Nobuhito Kaneko  Akihiro Matsui  Kazuhiko Tanaka  Hiroshi Ando  Minoru Shimizu
Affiliation:Kasukabe Chuo General Hospital, Heart Center, Saitama, Japan
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:ACS  Acute coronary syndrome  CTO  Chronic total occlusion  DCA  Directional coronary atherectomy  ELCA  Excimer laser coronary atherectomy  ISR  In-stent restenosis  LAD  Left anterior descending artery  LCX  Left circumflex artery  LMT  Left main trunk  PCI  Percutaneous coronary intervention  RA  Rotational atherectomy  RCA  Right coronary artery  TIMI  Thrombolysis in myocardial infarction  Excimer laser coronary atherectomy  Percutaneous coronary intervention  Debulking device  Plaque modification
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