Key result
Excimer laser coronary angioplasty carries a ~2% rate of perforation, predominantly at bifurcation carinas.
Why the study?
The mechanism and prognosis of vessel perforation following excimer laser coronary angioplasty in the new generation laser catheter era were not well understood.
Observational (n=399)
No
Bifurcation lesions may increase ELCA perforation risk with frequent pseudoaneurysm formation; leaves open need for prospective confirmation before practice change.
ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Yoshida R, Takagi K, Morishima I, Morita Y, Kanzaki Y, Tsuboi H. The mechanism and prognosis of vessel perforation following excimer laser coronary angioplasty in the new generation laser catheter era. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(3):364-367. doi:10.5114/aic.2019.87894. APA Yoshida, R., Takagi, K., Morishima, I., Morita, Y., Kanzaki, Y., & Tsuboi, H. (2019). The mechanism and prognosis of vessel perforation following excimer laser coronary angioplasty in the new generation laser catheter era. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(3), 364-367. https://doi.org/10.5114/aic.2019.87894 Chicago Yoshida, Ruka, Kensuke Takagi, Itsuro Morishima, Yasuhiro Morita, Yasunori Kanzaki, and Hideyuki Tsuboi. 2019. "The mechanism and prognosis of vessel perforation following excimer laser coronary angioplasty in the new generation laser catheter era". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 15 (3): 364-367. doi:10.5114/aic.2019.87894. Harvard Yoshida, R., Takagi, K., Morishima, I., Morita, Y., Kanzaki, Y., and Tsuboi, H. (2019). The mechanism and prognosis of vessel perforation following excimer laser coronary angioplasty in the new generation laser catheter era. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(3), pp.364-367. https://doi.org/10.5114/aic.2019.87894 MLA Yoshida, Ruka et al. "The mechanism and prognosis of vessel perforation following excimer laser coronary angioplasty in the new generation laser catheter era." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 15, no. 3, 2019, pp. 364-367. doi:10.5114/aic.2019.87894. Vancouver Yoshida R, Takagi K, Morishima I, Morita Y, Kanzaki Y, Tsuboi H. The mechanism and prognosis of vessel perforation following excimer laser coronary angioplasty in the new generation laser catheter era. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(3):364-367. doi:10.5114/aic.2019.87894.
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Yoshida et al. (2019) conducted an observational in Coronary artery disease requiring percutaneous coronary intervention (n=399). Excimer laser coronary angioplasty (ELCA) was evaluated on Incidence of coronary perforation. Among 399 patients undergoing excimer laser coronary angioplasty, coronary perforation occurred in 1.9% of cases, predominantly at the carina posterior to the bifurcation and often leading to pseudoaneurysms.
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