TY - BOOK AU - Bazarbashi, Najdat AU - Ben-Dor, Itsik AU - Bernardo, Nelson L AU - Case, Brian C AU - Gallino, Robert AU - Hashim, Hayder AU - Rogers, Toby AU - Satler, Lowell F AU - Waksman, Ron TI - A novel approach to saline/contrast delivery in excimer laser coronary atherectomy (ELCA) to enhance efficacy: MAXCon ELCA technique. [Review] SN - 1522-1946 PY - 2024/// KW - *Atherectomy, Coronary KW - *Coronary Angiography KW - *Coronary Artery Disease KW - *Lasers, Excimer KW - Aged KW - Contrast Media KW - Coronary Artery Disease/dg [Diagnostic Imaging] KW - Coronary Artery Disease/th [Therapy] KW - Humans KW - Lasers, Excimer/tu [Therapeutic Use] KW - Male KW - Saline Solution/ad [Administration & Dosage] KW - Treatment Outcome KW - Automated KW - MedStar Heart & Vascular Institute KW - MHVI KW - MedStar Washington Hospital Center KW - Cardiovascular Disease Fellowship KW - Case Reports KW - Journal Article KW - Review N1 - Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006 N2 - 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 UR - https://dx.doi.org/10.1002/ccd.31037 ER -