Related Experiment Video

Updated: May 12, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

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Right Coronary Artery Calcified Nodule Pre-TAVI Treatment Facilitated by ELCA Atherectomy

Marco Lombardi1, Luca Paolucci2, Antonio Fernández Ortiz2

  • 1Interventional Cardiology Unit, Hospital Clínico San Carlos IDISSC, Complutense University of Madrid, Madrid, Spain; Department of Internal Medicine, University of Genova, Genova, Italy.

JACC. Case Reports
|March 7, 2025
PubMed

Insights

Excimer laser coronary angioplasty effectively treated a challenging calcified nodule in a patient undergoing transcatheter aortic valve implantation. This approach facilitated successful percutaneous coronary intervention (PCI) with optimal results.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Imaging

Background:

  • Managing calcified nodules in coronary arteries presents a significant clinical challenge.
  • Calcified nodules can impede standard percutaneous coronary intervention (PCI) procedures.

Observation:

  • A 77-year-old male patient presented with severe right coronary artery stenosis due to an angiographically suspicious calcified nodule.
  • This occurred during pre-transcatheter aortic valve implantation (TAVI) workup.

Findings:

  • Excimer laser coronary angioplasty was utilized for plaque preparation, enabling detailed optical coherence tomography (OCT) imaging.
  • This facilitated successful OCT-guided PCI, achieving a favorable final result.

Implications:

  • Excimer laser coronary angioplasty serves as a valuable niche tool for addressing complex calcified nodules.
  • It allows for state-of-the-art PCI in challenging coronary anatomies.
  • This technique can improve procedural success rates in patients requiring intervention for calcified lesions.
Abstract

Keywords:
ELCAOCTcalcified nodulecoronary artery diseaselaser therapy

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