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Excimer Laser with and Without Contrast for the Management of Under-Expanded Stents

Lookup NU author(s): Dr Murugu Veerasamy, Dr Avais Jabbar, Dr Jannath Ahmed, Dr Mohaned Egred

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Abstract

Under-expanded and under-deployed stents carry a high risk of restenosis and thrombosis, with inherent serious clinical complications. The management of under-expanded stents is a difficult clinical entity. Method. A retrospective analysis of prospectively collected data on all under-expanded, under-deployed stents that were managed by excimer laser, with and without contrast, performed at the Freeman Hospital, a large tertiary cardiac center, in the northeast of England. Results. Between November 2014 and September 2016, a total of 19 cases were treated with excimer laser with or without contrast, with the initial approach done without contrast. All cases were successful with a stepwise energy-level approach. There were no clinical, procedural, or in-hospital complications, with full expansion of the stents after laser application. Conclusion. The use of excimer laser with or without contrast offers a safe and effective method for managing under-expanded and under-deployed stents and potentially avoiding long-term complications of under-expansion.

Publication metadata

Author(s): Veerasamy M, Gamal AS, Jabbar A, Ahmed JM, Egred M

Publication type: Article

Publication status: Published

Journal: Journal of Invasive Cardiology

Year: 2017

Volume: 29

Issue: 11

Pages: 364-369

Print publication date: 01/11/2017

Acceptance date: 24/03/2017

ISSN (print): 1042-3931

ISSN (electronic): 1557-2501

Publisher: HMP Communications

URL: https://www.invasivecardiology.com/articles

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