"Wireless" laser recanalization of chronic total coronary occlusions

J Invasive Cardiol. 2001 May;13(5):401-5.

Abstract

Chronic total occlusions in particular, completely obstructed aorto-ostial lesions are among the most challenging targets in interventional cardiology. Excimer laser is a debulking technology for revascularization of complex lesions. Treatment of total occlusions with laser angioplasty can be applied providing that a guidewire traverses the entire length of the occlusion prior to device activation. In many patients with total occlusions, a guidewire is unable to penetrate the target stenosis. This communication presents a new technique termed "wireless" laser recanalization. This approach entails recanalization of a total occlusion with a laser catheter without a leading guidewire.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon, Coronary*
  • Angioplasty, Balloon, Laser-Assisted*
  • Chronic Disease
  • Coronary Disease / surgery*
  • Humans
  • Male
  • Middle Aged