Optical coherence tomography following percutaneous coronary intervention with Excimer laser coronary atherectomy |
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| Affiliation: | 1. Sussex Cardiac Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK;2. Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK;3. Queen Elizabeth Hospital NHS Trust, Birmingham, UK;4. Belfast NHS Trust, Belfast, UK;5. Department of Mathematics, Sussex University, UK;6. King''s Health Partners, Rayne Institute, St Thomas'' Campus, London, UK;7. The James Cook University Hospital, Middlesbrough, UK;1. Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus, Milan, Italy;2. Fukuyama Cardiovascular Hospital, Fukuyama, Japan;3. Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan;1. Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy;2. Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus, Milan, Italy;3. Interventional Cardiology Unit, Spedali Civili, Brescia, Italy;4. Division of Interventional Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA;5. Invasive Cardiology Division, Clinica Montevergine, Mercogliano, Italy;6. Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy;7. Dept.of Cardiovascular, Respiratory, Nephrologic, Anesthesiologic and Geriatric Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Italy;8. Department of Cardiology, Ferrarotto Hospital, Catania, Italy;9. Department of Clinical Research, Delta Hospital, Prato, Italy;10. Cardiovascular Institute, Azienda Opedaliera Universitaria di Ferrara, Italy;11. Heart Department, San Carlo Hospital, Potenza, Italy;12. Interventional Cardiology Unit, Azienda Ospedali Riuniti, Ancona;1. Department of Cardiology, Tokyo Women''s Medical University, Tokyo, Japan;2. Department of Cardiology, Nishiarai Heart Center Hospital, Tokyo, Japan;3. Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan;4. Department of Cardiology, Tokyo Women''s Medical University, Tokyo, Japan |
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| Abstract: | The indications for Excimer laser coronary atherectomy (ELCA) have been refined in modern interventional practice. With the expanding role for optical coherence tomography (OCT) providing high-resolution intra-coronary imaging, this article examines the appearance of the coronary lumen after ELCA. Each indication for ELCA is discussed and illustrated with a clinical case, followed by detailed analysis of the OCT imaging pre and post ELCA. The aim of the article is to provide information to interventional cardiologists to facilitate decision making during PCI, when ELCA has been used as part of the interventional strategy. |
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