Excimer Laser Coronary Angioplasty (ELCA) for Diffuse In-stent Restenosis: Beneficial Long-term Results after Sufficient Debulking with a Lesion-specific Approach using various Laser Catheters

2001 ◽  
Vol 16 (2) ◽  
pp. 84-89 ◽  
Author(s):  
J.B. Dahm
Keyword(s):  
Excimer Laser ◽  
Coronary Angioplasty ◽  
Long Term Results ◽  
Specific Approach ◽  
Stent Restenosis ◽  
In Stent Restenosis ◽  
Excimer Laser Coronary Angioplasty

Clinical Follow-up of Excimer Laser Coronary Angioplasty for In-stent Restenosis

1999 ◽  
Vol 29 (9) ◽  
pp. 891
Author(s):  
Jin Ok Jeong ◽  
Hyeon Cheol Gwon ◽  
Sung Uk Kwon ◽  
Sung Yun Lee ◽  
Kyung Ju Ahn ◽  
...  
Keyword(s):  
Excimer Laser ◽  
Coronary Angioplasty ◽  
Stent Restenosis ◽  
In Stent Restenosis ◽  
Excimer Laser Coronary Angioplasty

Excimer Laser Coronary Angioplasty: Clinical Applications and Procedural Outcome, in a Large-Volume Tertiary Centre

Cardiology ◽  
2021 ◽  
pp. 1-7
Author(s):  
Conor McQuillan ◽  
Mohamed Farag ◽  
Mohaned Egred
Keyword(s):  
Excimer Laser ◽  
Coronary Angioplasty ◽  
High Volume ◽  
Stent Insertion ◽  
Ageing Population ◽  
Chronic Total Occlusions ◽  
Tertiary Centre ◽  
Stent Restenosis ◽  
In Stent Restenosis ◽  
Excimer Laser Coronary Angioplasty

Excimer-laser coronary angioplasty can be used to modify undilatable and uncrossable lesions in native arteries and in-stent restenosis which are increasingly encountered with the ageing population undergoing coronary intervention. We present our laser experience over a 10-year period in a large cardiac tertiary centre. <b><i>Method:</i></b> Retrospective analysis of prospectively collected data on all procedures where laser was used from August 2008 to December 2019. Clinical presentation, demographics, and procedural details were all recorded. Successful procedures were defined as &#x3c;30% stenosis at the end. Periprocedural and in-hospital complications were recorded and verified. Results are presented as numbers and percentages. <b><i>Results:</i></b> A total of 331 patients were identified with 473 lesions treated with laser and an overall total of 637 lesions. Of the 473 lesions treated, 46 (9.9%) were in-stent restenosis, 146 (30.9%) were chronic total occlusions, and the rest were uncrossable or undilatable lesions. The vast majority of procedures (97.0%) were performed with the 0.9-mm laser catheter. The overall success rate was 81.6% (58–87%) from low- to high-volume user. Complications included dissection 3 (0.6%), no-reflow 3 (0.6%), coronary perforation 13 (2.7%), and tamponade in 1 (0.2%). Only 3 (0.6%) of the perforations were seen after the laser catheter passage, the rest were seen later following balloon preparation or stent insertion. <b><i>Conclusion:</i></b> Laser is a valuable tool for treating complex and resistant coronary lesions. Its efficacy and safety are well established and when applied appropriately, it helps to achieve optimal outcomes for our patients.

Treatment of In-Stent Restenosis With Excimer Laser Coronary Angioplasty

Circulation ◽  
1997 ◽  
Vol 96 (7) ◽  
pp. 2183-2189 ◽  
Author(s):  
Roxana Mehran ◽  
Gary S. Mintz ◽  
Lowell F. Satler ◽  
Augusto D. Pichard ◽  
Kenneth M. Kent ◽  
...  
Keyword(s):  
Excimer Laser ◽  
Coronary Angioplasty ◽  
Stent Restenosis ◽  
In Stent Restenosis ◽  
Excimer Laser Coronary Angioplasty

scholarly journals P6075OCT guided excimer laser coronary angioplasty for in-stent restenosis

2017 ◽  
Vol 38 (suppl_1) ◽  
Author(s):  
S. Hashimoto ◽  
A. Takahashi ◽  
T. Yamada ◽  
Y. Mizuguchi ◽  
N. Taniguchi ◽  
...  
Keyword(s):  
Excimer Laser ◽  
Coronary Angioplasty ◽  
Stent Restenosis ◽  
In Stent Restenosis ◽  
Excimer Laser Coronary Angioplasty

scholarly journals Treatment of In-Stent Restenosis With Excimer Laser Coronary Angioplasty Versus Rotational Atherectomy

Circulation ◽  
2000 ◽  
Vol 101 (21) ◽  
pp. 2484-2489 ◽  
Author(s):  
Roxana Mehran ◽  
George Dangas ◽  
Gary S. Mintz ◽  
Ron Waksman ◽  
Alexandre Abizaid ◽  
...  
Keyword(s):  
Excimer Laser ◽  
Coronary Angioplasty ◽  
Rotational Atherectomy ◽  
Stent Restenosis ◽  
In Stent Restenosis ◽  
Excimer Laser Coronary Angioplasty

Treatment of in-stent restenosis with excimer laser coronary angioplasty: benefits over scoring balloon angioplasty alone

2016 ◽  
Vol 31 (8) ◽  
pp. 1691-1696 ◽  
Author(s):  
Shunsuke Hirose ◽  
Takashi Ashikaga ◽  
Yu Hatano ◽  
Shunji Yoshikawa ◽  
Taro Sasaoka ◽  
...  
Keyword(s):  
Excimer Laser ◽  
Balloon Angioplasty ◽  
Coronary Angioplasty ◽  
Stent Restenosis ◽  
Scoring Balloon ◽  
In Stent Restenosis ◽  
Excimer Laser Coronary Angioplasty
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