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Int J Cardiol ; 350: 19-26, 2022 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-34995700

RESUMO

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.


Assuntos
Aterectomia Coronária , Intervenção Coronária Percutânea , Aterectomia Coronária/métodos , Angiografia Coronária , Humanos , Lasers de Excimer/uso terapêutico , Intervenção Coronária Percutânea/métodos , Tecnologia , Resultado do Tratamento
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