Novel use of a high-energy excimer laser catheter for calcified and complex coronary artery lesions

Catheter Cardiovasc Interv. 2004 Jun;62(2):155-61. doi: 10.1002/ccd.20053.

Abstract

This study was designed to evaluate safety and effectiveness of the 0.9 mm excimer laser coronary catheter with increased laser parameters. We report a prospective trial of 100 calcified and/or balloon-resistant lesions where a new 0.9 mm excimer laser catheter was used at standard or higher energy level to facilitate angioplasty. Standard in-hospital clinical and angiographic parameters were collected and measured. Laser technical success was obtained in 87 lesions (92%), procedural success was reached in 88 lesions (93%), and clinical success in 82 lesions (86%). Increased laser parameters were used for 29 resistant lesions. This new 0.9 mm excimer laser coronary catheter using higher energy parameters seems to be safe and effective for management of calcified and nondilatable lesions.

Publication types

  • Comparative Study
  • Evaluation Study
  • Multicenter Study

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary*
  • Angioplasty, Balloon, Laser-Assisted*
  • Calcinosis / therapy*
  • Canada / epidemiology
  • Cardiac Catheterization*
  • Coronary Stenosis / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Postoperative Complications / mortality
  • Prospective Studies
  • Survival Analysis
  • Treatment Outcome