Short-term outcome of complex coronary lesions treated by excimer laser coronary atherectomy
10.3969/j.issn.1004-8812.2019.01.009
- VernacularTitle:准分子激光冠状动脉斑块消融术治疗复杂冠状动脉病变的近期临床效果观察
- Author:
Qi LI
1
;
Jian LIU
;
Ming-Yu LU
;
Hong ZHAO
;
Yu-Liang MA
;
Cheng-Fu CAO
;
Chuan-Fen LIU
;
Jun-Xian SONG
;
Wei-Li TENG
;
Wei-Min WANG
Author Information
1. 北京大学人民医院心脏中心
- Keywords:
Coronary artery disease;
Intravascular ultrasound;
Excimer laser coronary atherectomy
- From:
Chinese Journal of Interventional Cardiology
2019;27(1):41-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility, safety and efficacy of excimer laser coronary atherectomy used in complex lesions, including in-stent restenosis, non-crossable or nonexpandable lesions, heavily calcified lesions without successful wire-exchange and saphenous vein grafts lesions. Methods From Jul 24, 2017 to Aug 24, 2018, 22 cases with 24 lesions were treated with excimer laser coronary atherectomy in Peking University People's Hospital, combined with or without IVUS/OCT, rotational atherectomy or other percutaneous coronary intervention instrument, and with or without stent implantation. Results The procedural success rate was 23/24. There was no complications in all cases. Drug-eluting stents were implanted in 19/24 of lesions. There were no major advent cardiovascular events, including death, acute ST-segment-elevation myocardia and pericardial tamponade recorded. Conclusions Excimer laser coronary atherectomy used in complex lesions is feasible, safe and efficient with satisfactory in-hospital short-term outcome.