ELCA-Tripsy: Combination of Laser and Lithotripsy for Severely Calcified Lesions
Rotational atherectomy (RA) and intravascular lithotripsy (IVL) are complementary calcium-debulking techniques. RA ablates intimal calcium and makes a channel that permits crossing of the Shockwave balloon, which cannot be easily delivered through severe lesions. Shockwave IVL completes lesion prepa...
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Veröffentlicht in: | The Journal of invasive cardiology 2021-09, Vol.33 (9), p.E754 |
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container_title | The Journal of invasive cardiology |
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creator | Jurado-Román, Alfonso García, Artemio Moreno, Raúl |
description | Rotational atherectomy (RA) and intravascular lithotripsy (IVL) are complementary calcium-debulking techniques. RA ablates intimal calcium and makes a channel that permits crossing of the Shockwave balloon, which cannot be easily delivered through severe lesions. Shockwave IVL completes lesion preparation, cracking deep calcium. When RA is discouraged, excimer-laser coronary angioplasty (ELCA) in combination with IVL (ELCA-Tripsy) may be useful, as ELCA facilitates Shockwave balloon delivery without impairment of recently implanted stents. To the best of our knowledge, this is the first description of this technique. |
doi_str_mv | 10.25270/jic/21.00207 |
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RA ablates intimal calcium and makes a channel that permits crossing of the Shockwave balloon, which cannot be easily delivered through severe lesions. Shockwave IVL completes lesion preparation, cracking deep calcium. When RA is discouraged, excimer-laser coronary angioplasty (ELCA) in combination with IVL (ELCA-Tripsy) may be useful, as ELCA facilitates Shockwave balloon delivery without impairment of recently implanted stents. 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subjects | Angioplasty, Balloon, Coronary Atherectomy, Coronary - adverse effects Coronary Angiography Humans Lasers, Excimer Lithotripsy Stents Treatment Outcome |
title | ELCA-Tripsy: Combination of Laser and Lithotripsy for Severely Calcified Lesions |
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