[Excimer laser coronary angioplasty after primary unsuccessful PTCA].
Excimer laser coronary angioplasty is a new technique for ablation of coronary stenosis, however, the indications for its application are still controversial. We describe two male patients, 60 and 65 years old, who underwent unsuccessful balloon PTCA with a short, concentric and calcified coronary stenosis, although balloon inflation pressure was increased to a maximum in both cases. Excimer laser angioplasty following the failed procedures showed no evidence for tissue ablation angiographically, but a repeat attempt with balloon angioplasty was successful in both cases. Thus, laser angioplasty may be considered as an adjunct technique to balloon angioplasty after a failed PTCA in resistant, non-inflatable lesions.
Ozbek
C
C
Innere Medizin III/Kardiologie, Medizinische Universitätsklinik und Poliklinik Homburg/Saar.
Wölk
T
T
Bach
R
R
Dyckmans
J
J
Schieffer
H
H
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D016342:Angioplasty, Laser / Q000295:instrumentation*; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*
Excimer-Laser-Koronarangioplastie nach primär erfolgloser PTCA.