October 22, 2013Cardiovascular revascularization medicineOpen Access

Excimer Laser LEsion Modification to Expand Non-dilatable sTents: The ELLEMENT Registry

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Why the study?

Does Excimer Laser Coronary Angioplasty (ELCA) improve stent expansion in patients with underexpanded stents despite high-pressure balloon inflation?

Structured PICO

Does Excimer Laser Coronary Angioplasty (ELCA) improve stent expansion in patients with underexpanded stents despite high-pressure balloon inflation?

Population

28 patients with an underexpanded stent despite high-pressure non-compliant balloon inflation

Intervention

Excimer Laser Coronary Angioplasty (ELCA) at high energy (mean 62±12mJ/mm² at 62±21hertz) during contrast injection within the underexpanded stent, followed by redilatation with the previously unsuccessful non-compliant balloon

Outcome

Successful laser dilatation defined as an increase of at least 1mm² in minimal stent cross-sectional area (MSA) on IVUS or an increase of at least 20% in minimal stent diameter (MSD) by QCA, following redilatationsurrogate

ELCA with contrast injection is a highly effective and feasible technique to achieve optimal stent expansion in lesions that are refractory to high-pressure non-compliant balloon inflation.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

ELCA may aid expansion in refractory underexpanded stents; observational data leave open randomized confirmation before practice change.

Cite This Study

Latib et al. (2013) studied this question.

synapsesocial.com/papers/6a7c3456d501feb4353bde2e https://doi.org/10.1016/j.carrev.2013.10.005

View Full Paper

Ask AI

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Excimer Laser LEsion Modification to Expand Non-dilatable sTents: The ELLEMENT Registry

Structured PICO

Discussion

Implication

Cite This Study

Excimer Laser LEsion Modification to Expand Non-dilatable sTents: The ELLEMENT Registry

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider