Optical coherence tomography following percutaneous coronary intervention with Excimer laser coronary atherectomy.
The indications for Excimer laser coronary atherectomy (ELCA) have been refined in modern interventional practice. With the expanding role for optical coherence tomography (OCT) providing high-resolution intra-coronary imaging, this article examines the appearance of the coronary lumen after ELCA. Each indication for ELCA is discussed and illustrated with a clinical case, followed by detailed analysis of the OCT imaging pre and post ELCA. The aim of the article is to provide information to interventional cardiologists to facilitate decision making during PCI, when ELCA has been used as part of the interventional strategy.
Dorset Heart Centre Royal Bournemouth Hospital Castle Lane East, Bournemouth, BH7 7DW. Electronic address: john.rawlins@doctors.net.uk.
John
J
Rawlins
Dorset Heart Centre Royal Bournemouth Hospital Castle Lane East, Bournemouth, BH7 7DW.
Suneel
S
Talwar
Dorset Heart Centre Royal Bournemouth Hospital Castle Lane East, Bournemouth, BH7 7DW.
Mark
M
Green
Dorset Heart Centre Royal Bournemouth Hospital Castle Lane East, Bournemouth, BH7 7DW. Electronic address: peter.o'kane@rbch.nhs.uk.
Peter
P
O'Kane
D000368:Aged; D000369:Aged, 80 and over; D017225:Atherectomy, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D023903:Coronary Restenosis / Q000175:diagnosis / Q000628:therapy; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000628:therapy; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D054018:Lasers, Excimer / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D018579:Patient Selection; D011237:Predictive Value of Tests; D012501:Saphenous Vein / Q000473:pathology / Q000637:transplantation; D013997:Time Factors; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D061205:Vascular Calcification / Q000175:diagnosis / Q000628:therapy
Atherectomy; Excimer; Laser; PPCI; SVG; Thrombosis