Chinese expert consensus statement on the use of 308 nm excimer laser atherectomy in percutaneous coronary intervention
10.3969/j.issn.1004-8812.2025.08.001
- VernacularTitle:308 nm准分子激光冠状动脉介入应用中国专家共识
- Author:
Yu-jie ZHOU
- Collective Name:The Chinese Expert Consensus Committee for the Use of Excimer Laser Atherectomy in Percutaneous Coronary Intervention
- Publication Type:Journal Article
- Keywords:
Excimer laser coronary atherectomy;
Photo ablation;
Acoustic pressure wave;
Cavitation bubble effect;
Intravascular ultrasound;
Optical coherence tomography
- From:
Chinese Journal of Interventional Cardiology
2025;33(8):421-430
- CountryChina
- Language:Chinese
-
Abstract:
Excimer laser coronary atherectomy(ELCA)has been introduced to clinical practice for almost 30 years.Substantial clinical evidence on ELCA has been accumulated and ELCA has been recommended by several international expert consensuses.However,how to maximize the effectiveness of ELCA while minimizing its complications in different clinical indications remains unclear.Although the Cardiovascular Laser Society in Europe published a position paper in 2022 and recommended different energy settings for ELCA on various scenarios,a more comprehensive operational guidance is still needed in real-world clinical practice.Based on previous international expert consensus statements,latest evidence from clinical research and our experience with ELCA,this consensus statement committee aims to make detailed recommendations on the use of ELCA in a wide spectrum of complex coronary lesions,so that operators can fully utilize the benefits of ELCA while minimizing its potential complications.