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Laser Atherectomy in the Proximal-Mid LAD Using an 0.9-mm Excimer Laser Coronary Atherectomy System

Journal: JACC Case Reports

Article Title: Complex Retrograde CTO-PCI With Laser Atherectomy and a Novel Tip-In Technique Into a Guide Catheter Extension

doi: 10.1016/j.jaccas.2026.107651

Figure Lengend Snippet: Laser Atherectomy in the Proximal-Mid LAD Using an 0.9-mm Excimer Laser Coronary Atherectomy System

Article Snippet: Retrograde CTO-PCI with laser atherectomy • Suoh 03 wire (Asahi Intecc) • Caravel microcatheter (Asahi Intecc) • Corsair Pro XS microguide catheter (Asahi Intecc) • RG3 wire (Asahi Intecc) • Gaia Next 2 and Gaia Next 3 (Asahi Intecc) • BMW wire (Abbott) • Everolimus drug-eluting stent 4.0 × 48 mm (Abbott) • 0.9-mm excimer laser coronary atherectomy system (Philips).

Techniques:

Right Coronary Artery Percutaneous Coronary Intervention Final Steps Left heart catheterization showing (A) 0.9-mm laser atherectomy performed without difficulty. (B) The right coronary artery lesion was predilated with an NC balloon, and percutaneous coronary intervention was performed using a 4.0 × 48 mm drug-eluting stent. (C) Final image of the right coronary artery highlighting the collaterals to the left anterior descending artery.

Journal: JACC Case Reports

Article Title: Complex Retrograde CTO-PCI With Laser Atherectomy and a Novel Tip-In Technique Into a Guide Catheter Extension

doi: 10.1016/j.jaccas.2026.107651

Figure Lengend Snippet: Right Coronary Artery Percutaneous Coronary Intervention Final Steps Left heart catheterization showing (A) 0.9-mm laser atherectomy performed without difficulty. (B) The right coronary artery lesion was predilated with an NC balloon, and percutaneous coronary intervention was performed using a 4.0 × 48 mm drug-eluting stent. (C) Final image of the right coronary artery highlighting the collaterals to the left anterior descending artery.

Article Snippet: Retrograde CTO-PCI with laser atherectomy • Suoh 03 wire (Asahi Intecc) • Caravel microcatheter (Asahi Intecc) • Corsair Pro XS microguide catheter (Asahi Intecc) • RG3 wire (Asahi Intecc) • Gaia Next 2 and Gaia Next 3 (Asahi Intecc) • BMW wire (Abbott) • Everolimus drug-eluting stent 4.0 × 48 mm (Abbott) • 0.9-mm excimer laser coronary atherectomy system (Philips).

Techniques:

LAD CTO Percutaneous Coronary Intervention Final Steps Left heart catheterization showing (A) dual injection system. (B) FineCross catheter advanced to the second septal branch and BMW wire placed in the distal LAD; converted to antegrade approach. (C) An 0.9-mm laser atherectomy performed in the left anterior descending artery. (D) Final angiogram of the left anterior descending artery showing TIMI flow grade 3. The upper arrow in B indicates FineCross catheter and the lower one in indicates Suoh 03 wire in the distal septal branch. The arrow in C indicates tip of the laser atherectomy catheter.

Journal: JACC Case Reports

Article Title: Complex Retrograde CTO-PCI With Laser Atherectomy and a Novel Tip-In Technique Into a Guide Catheter Extension

doi: 10.1016/j.jaccas.2026.107651

Figure Lengend Snippet: LAD CTO Percutaneous Coronary Intervention Final Steps Left heart catheterization showing (A) dual injection system. (B) FineCross catheter advanced to the second septal branch and BMW wire placed in the distal LAD; converted to antegrade approach. (C) An 0.9-mm laser atherectomy performed in the left anterior descending artery. (D) Final angiogram of the left anterior descending artery showing TIMI flow grade 3. The upper arrow in B indicates FineCross catheter and the lower one in indicates Suoh 03 wire in the distal septal branch. The arrow in C indicates tip of the laser atherectomy catheter.

Article Snippet: Retrograde CTO-PCI with laser atherectomy • Suoh 03 wire (Asahi Intecc) • Caravel microcatheter (Asahi Intecc) • Corsair Pro XS microguide catheter (Asahi Intecc) • RG3 wire (Asahi Intecc) • Gaia Next 2 and Gaia Next 3 (Asahi Intecc) • BMW wire (Abbott) • Everolimus drug-eluting stent 4.0 × 48 mm (Abbott) • 0.9-mm excimer laser coronary atherectomy system (Philips).

Techniques: Injection