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

L. Golino; G. Caiazzo; P. Calabrò; A. Colombo; M. Contarini; F. Fedele; G. Gabrielli; A. R. Galassi; P. Golino; F. Scotto di Uccio; G. Tarantini; V. Argentino; M. Balbi; G. Bernardi; M. Boccalatte; R. Bonmassari; G. Bottiglieri; G. Caramanno; F. Cesaro; E. Cigala; G. Chizzola; E. Di Lorenzo; A. Intorcia; L. Fattore; S. Galli; G. Gerosa; D. Giannotta; P. Grossi; V. Monda; A. Mucaj; M. Napodano; A. Nicosia; R. Perrotta; D. Pieri; F. Prati; V. Ramazzotti; F. Romeo; A. Rubino; E. Russolillo; L. Spedicato; B. Tuccillo; C. Tumscitz; C. Vigna; L. Bertinato; P. Armigliato; V. Ambrosini

doi:10.1016/j.ijcard.2021.12.054

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

L. Golino, G. Caiazzo, P. Calabrò, A. Colombo, M. Contarini, F. Fedele, G. Gabrielli, A. R. Galassi, P. Golino, F. Scotto di Uccio, G. Tarantini, V. Argentino, M. Balbi, G. Bernardi, M. Boccalatte, R. Bonmassari, G. Bottiglieri, G. Caramanno, F. Cesaro, E. CigalaG. Chizzola, E. Di Lorenzo, A. Intorcia, L. Fattore, S. Galli, G. Gerosa, D. Giannotta, P. Grossi, V. Monda, A. Mucaj, M. Napodano, A. Nicosia, R. Perrotta, D. Pieri, F. Prati, V. Ramazzotti, F. Romeo, A. Rubino, E. Russolillo, L. Spedicato, B. Tuccillo, C. Tumscitz, C. Vigna, L. Bertinato, P. Armigliato, V. Ambrosini

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Journal	International Journal of Cardiology
DOIs	https://doi.org/10.1016/j.ijcard.2021.12.054
Publication status	Accepted/In press - 2022

Keywords

Chronic occlusions
ELCA
Laser angioplasty
Severe calcific lesions
Stent under-expansion
Thrombotic lesions

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.ijcard.2021.12.054

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Golino, L., Caiazzo, G., Calabrò, P., Colombo, A., Contarini, M., Fedele, F., Gabrielli, G., Galassi, A. R., Golino, P., Scotto di Uccio, F., Tarantini, G., Argentino, V., Balbi, M., Bernardi, G., Boccalatte, M., Bonmassari, R., Bottiglieri, G., Caramanno, G., Cesaro, F., ... Ambrosini, V. (Accepted/In press). Excimer laser technology in percutaneous coronary interventions: Cardiovascular laser society's position paper. International Journal of Cardiology. https://doi.org/10.1016/j.ijcard.2021.12.054

Golino, L, Caiazzo, G, Calabrò, P, Colombo, A, Contarini, M, Fedele, F, Gabrielli, G, Galassi, AR, Golino, P, Scotto di Uccio, F, Tarantini, G, Argentino, V, Balbi, M, Bernardi, G, Boccalatte, M, Bonmassari, R, Bottiglieri, G, Caramanno, G, Cesaro, F, Cigala, E, Chizzola, G, Di Lorenzo, E, Intorcia, A, Fattore, L , Galli, S, Gerosa, G, Giannotta, D, Grossi, P, Monda, V, Mucaj, A, Napodano, M, Nicosia, A, Perrotta, R, Pieri, D, Prati, F , Ramazzotti, V, Romeo, F, Rubino, A, Russolillo, E, Spedicato, L, Tuccillo, B, Tumscitz, C, Vigna, C, Bertinato, L, Armigliato, P & Ambrosini, V 2022, 'Excimer laser technology in percutaneous coronary interventions: Cardiovascular laser society's position paper', International Journal of Cardiology. https://doi.org/10.1016/j.ijcard.2021.12.054

@article{7d9f2bd826754d3c8a3220694e414732,

title = "Excimer laser technology in percutaneous coronary interventions: Cardiovascular laser society's position paper",

abstract = "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.",

keywords = "Chronic occlusions, ELCA, Laser angioplasty, Severe calcific lesions, Stent under-expansion, Thrombotic lesions",

author = "L. Golino and G. Caiazzo and P. Calabr{\`o} and A. Colombo and M. Contarini and F. Fedele and G. Gabrielli and Galassi, {A. R.} and P. Golino and {Scotto di Uccio}, F. and G. Tarantini and V. Argentino and M. Balbi and G. Bernardi and M. Boccalatte and R. Bonmassari and G. Bottiglieri and G. Caramanno and F. Cesaro and E. Cigala and G. Chizzola and {Di Lorenzo}, E. and A. Intorcia and L. Fattore and S. Galli and G. Gerosa and D. Giannotta and P. Grossi and V. Monda and A. Mucaj and M. Napodano and A. Nicosia and R. Perrotta and D. Pieri and F. Prati and V. Ramazzotti and F. Romeo and A. Rubino and E. Russolillo and L. Spedicato and B. Tuccillo and C. Tumscitz and C. Vigna and L. Bertinato and P. Armigliato and V. Ambrosini",

note = "Publisher Copyright: {\textcopyright} 2021 Elsevier B.V.",

year = "2022",

doi = "10.1016/j.ijcard.2021.12.054",

language = "English",

journal = "International Journal of Cardiology",

issn = "0167-5273",

publisher = "Elsevier Ireland Ltd",

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TY - JOUR

T1 - Excimer laser technology in percutaneous coronary interventions

T2 - Cardiovascular laser society's position paper

AU - Golino, L.

AU - Caiazzo, G.

AU - Calabrò, P.

AU - Colombo, A.

AU - Contarini, M.

AU - Fedele, F.

AU - Gabrielli, G.

AU - Galassi, A. R.

AU - Golino, P.

AU - Scotto di Uccio, F.

AU - Tarantini, G.

AU - Argentino, V.

AU - Balbi, M.

AU - Bernardi, G.

AU - Boccalatte, M.

AU - Bonmassari, R.

AU - Bottiglieri, G.

AU - Caramanno, G.

AU - Cesaro, F.

AU - Cigala, E.

AU - Chizzola, G.

AU - Di Lorenzo, E.

AU - Intorcia, A.

AU - Fattore, L.

AU - Galli, S.

AU - Gerosa, G.

AU - Giannotta, D.

AU - Grossi, P.

AU - Monda, V.

AU - Mucaj, A.

AU - Napodano, M.

AU - Nicosia, A.

AU - Perrotta, R.

AU - Pieri, D.

AU - Prati, F.

AU - Ramazzotti, V.

AU - Romeo, F.

AU - Rubino, A.

AU - Russolillo, E.

AU - Spedicato, L.

AU - Tuccillo, B.

AU - Tumscitz, C.

AU - Vigna, C.

AU - Bertinato, L.

AU - Armigliato, P.

AU - Ambrosini, V.

PY - 2022

Y1 - 2022

N2 - 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.

AB - 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.

KW - Chronic occlusions

KW - ELCA

KW - Laser angioplasty

KW - Severe calcific lesions

KW - Stent under-expansion

KW - Thrombotic lesions

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UR - http://www.scopus.com/inward/citedby.url?scp=85122628794&partnerID=8YFLogxK

U2 - 10.1016/j.ijcard.2021.12.054

DO - 10.1016/j.ijcard.2021.12.054

M3 - Article

AN - SCOPUS:85122628794

SN - 0167-5273

JO - International Journal of Cardiology

JF - International Journal of Cardiology

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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