000			03391nam a22006497a 4500
008			240723s20242024 xxu||||| |||| 00| 0 eng d
022			_a1522-1946
040			_aOvid MEDLINE(R)
099			_a38605682
245			_aA novel approach to saline/contrast delivery in excimer laser coronary atherectomy (ELCA) to enhance efficacy: MAXCon ELCA technique. [Review]
251			_aCatheterization & Cardiovascular Interventions. 103(6):917-923, 2024 May.
252			_aCatheter Cardiovasc Interv. 103(6):917-923, 2024 May.
253			_aCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
260			_c2024
260			_p2024 May
260			_fFY2024
265			_sppublish
265			_tMEDLINE
501			_aAvailable online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
520			_aThe 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.
546			_aEnglish
650			_a*Atherectomy, Coronary
650			_a*Coronary Angiography
650			_a*Coronary Artery Disease
650			_a*Lasers, Excimer
650			_aAged
650			_aContrast Media
650			_aCoronary Artery Disease/dg [Diagnostic Imaging]
650			_aCoronary Artery Disease/th [Therapy]
650			_aHumans
650			_aLasers, Excimer/tu [Therapeutic Use]
650			_aMale
650			_aSaline Solution/ad [Administration & Dosage]
650			_aTreatment Outcome
650			_zAutomated
651			_aMedStar Heart & Vascular Institute
651			_aMedStar Heart & Vascular Institute _bMHVI
651			_aMedStar Washington Hospital Center
656			_aCardiovascular Disease Fellowship
657			_aCase Reports
657			_aJournal Article
657			_aReview
700			_aBazarbashi, Najdat _bMWHC _cCardiovascular Disease Fellowship _dMBBS
700			_aBen-Dor, Itsik _bMHVI
700			_aBernardo, Nelson L _bMHVI
700			_aCase, Brian C _bMHVI
700			_aGallino, Robert
700			_aHashim, Hayder _bMHVI
700			_aRogers, Toby _bMHVI
700			_aSatler, Lowell F _bMHVI
700			_aWaksman, Ron _bMHVI
790			_aCase BC, Bazarbashi N, Johnson A, Rogers T, Ben-Dor I, Satler LF, Waksman R, Hashim HD, Gallino R, Bernardo NL
856			_uhttps://dx.doi.org/10.1002/ccd.31037 _zhttps://dx.doi.org/10.1002/ccd.31037
858			_ySatler, Lowell F _uhttp://orcid.org/0000-0001-6446-2683 _zhttp://orcid.org/0000-0001-6446-2683 _zhttp://orcid.org/0000-0002-4063-9226
858			_yWaksman, Ron _uhttp://orcid.org/0000-0002-4063-9226 _zhttp://orcid.org/0000-0001-6446-2683 _zhttp://orcid.org/0000-0002-4063-9226
942			_cART _dArticle
999			_c14288 _d14288