EDITORIAL COMMENT
Debulking uncrossable lesions with excimer laser: The interplay between device performance and limitations
Expert Article Analysis for: Excimer laser coronary atherectomy for uncrossable coronary lesions. A multicenter registry
Key Points
- Excimer laser successfully debulks atherosclerotic plaques, noteworthy lesions that fail to yield (uncrossable) to standard tools.
- Severe calcifications serve as an independent predictor of laser failure to recanalize uncrossable lesions, whereby other debulking technologies may better succeed.
- Q-T prolongation during lasing represents dynamic ischemia caused either by impaired flow or distal spasm, leading to development of severe arrhythmias, thus, proper lasing techniques remain essential.
CONFLICT OF INTEREST
No conflict of interest to declare.
