A novel approach to saline/contrast delivery in excimer laser coronary atherectomy (ELCA) to enhance efficacy: MAXCon ELCA technique. [Review] 

 -  2024 
<br/><br/>Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006 
<br/><br/> The advent of excimer laser coronary atherectomy (ELCA) nearly four decades ago heralded a novel way to treat complex lesions, both coronary and peripheral, which were previously untraversable and thus untreatable. These complex lesions include heavily calcified lesions, ostial lesions, bifurcation lesions, chronic total occlusions, in-stent restenosis (including stent underexpansion), and degenerative saphenous vein grafts. We discuss the technology of ELCA, its indications, applications, and complications, and suggest the "MAXCon ELCA" technique for better outcomes without increased risk. Lastly, we present a case of MAXCon ELCA effectively treating a complex lesion. Copyright © 2024 Wiley Periodicals LLC. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>1522-1946 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Atherectomy, Coronary<br/>*Coronary Angiography<br/>*Coronary Artery Disease<br/>*Lasers, Excimer<br/>Aged<br/>Contrast Media<br/>Coronary Artery Disease/dg [Diagnostic Imaging]<br/>Coronary Artery Disease/th [Therapy]<br/>Humans<br/>Lasers, Excimer/tu [Therapeutic Use]<br/>Male<br/>Saline Solution/ad [Administration & Dosage]<br/>Treatment Outcome--Automated
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Heart & Vascular Institute<br/>MedStar Heart & Vascular Institute MHVI <br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Cardiovascular Disease Fellowship
<br/><br/><label>Index Terms--Function: </label><br/>Case Reports<br/>Journal Article<br/>Review