Journal: REC: Interventional Cardiology

Article Title: Safety and efficacy profile of excimer laser coronary angioplasty for thrombus removal in STEMI

doi: 10.24875/RECICE.M25000537

Figure Lengend Snippet: TIMI grade flow distribution before and after ELCA application. Stacked bar graph showing the distribution of TIMI grade 0-3 flows at 3 different time points: initial angiography, post-ELCA, and final angiographic result after PCI. A marked improvement in coronary flow is observed following ELCA, with a progressive increase in TIMI grade-3 flow from 6.2% to 74.6%. ELCA, excimer laser coronary angioplasty; TIMI, Thrombolysis in Myocardial Infarction.

Article Snippet: Excimer laser coronary angioplasty (ELCA Coronary Laser Atherectomy Catheter, Koninklijke Philips N.V., The Netherlands) is a well-established adjuvant therapy for coronary interventions.

Techniques:

Journal: REC: Interventional Cardiology

Article Title: Safety and efficacy profile of excimer laser coronary angioplasty for thrombus removal in STEMI

doi: 10.24875/RECICE.M25000537

Figure Lengend Snippet: ELCA-related procedural complications. Bar chart showing the frequency and percentage of major complications during or immediately after ELCA. The most common was no-reflow (3.1%), followed by distal embolization (2.3%). Other events (death, perforation, ventricular arrhythmia, and stent thrombosis) were rare (0.8% each). ELCA, excimer laser coronary angioplasty.

Article Snippet: Excimer laser coronary angioplasty (ELCA Coronary Laser Atherectomy Catheter, Koninklijke Philips N.V., The Netherlands) is a well-established adjuvant therapy for coronary interventions.

Techniques:

Journal: REC: Interventional Cardiology

Article Title: Safety and efficacy profile of excimer laser coronary angioplasty for thrombus removal in STEMI

doi: 10.24875/RECICE.M25000537

Figure Lengend Snippet: Pre- and post-ELCA findings in 2 typical cases of right coronary artery with large thrombus burden. ELCA, excimer laser coronary angioplasty.

Article Snippet: Excimer laser coronary angioplasty (ELCA Coronary Laser Atherectomy Catheter, Koninklijke Philips N.V., The Netherlands) is a well-established adjuvant therapy for coronary interventions.

Techniques:

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:

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

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 Initial Steps Left heart catheterization showing (A) Runthrough wire crossed with FineCross catheter support. (B) Balloon uncrossable lesion. (C) Corsair Pro XS catheter unable to cross. The arrow in A points at Runthrough wire. Arrow in C points at Corsair Pro XS microcatheter.

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:

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 Initial Steps Left heart catheterization showing (A) dual TrapLiner catheters in place, upfront retrograde approach. The arrows indicate the septal branches. (B) We were unable to wire the true lumen in the distal left anterior descending artery after the first septal branch and therefore were unable to pass the septal branch using the retrograde microcatheter, (C) hence, we decided to wire the second septal branch. The arrows in B indicate the left anterior descending coronary artery and diagonal branch.

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:

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

Journal: JACC Case Reports

Article Title: Guidewire Entry Into a Calcific Fracture Causing Stent Underexpansion

doi: 10.1016/j.jaccas.2026.106962

Figure Lengend Snippet: OCT Findings After IVL and After Cutting Balloon Dilation The upper panels (A to E) show OCT after IVL balloon dilation (2.5 × 12 mm); the lower panels (A′ to E′) show OCT at the same segments after adjunctive cutting balloon dilation (2.75 × 15 mm). After IVL, a deep calcium fracture was seen at ∼11 o'clock; after cutting balloon dilation, the fracture gap widened. OCT flushing used contrast (upper panels) and low–molecular weight dextran (lower panels). Two guidewires were used (LAD main vessel and D2): the D2 wire was unchanged, whereas the LAD wire shifted from 6 o'clock toward the fracture (∼11-12 o'clock). A and E match respective panels in . D2 = second diagonal branch; IVL = intravascular lithotripsy; LAD = left anterior descending artery; OCT = optical coherence tomography.

Article Snippet: To optimize stent expansion, additional dilatation was attempted with an upsized 3.0 × 12 mm IVL balloon, followed by excimer laser coronary atherectomy (ELCA) using a 1.4-mm laser catheter (Spectranetics) targeting the calcification abluminal to the stent; however, underexpansion remained refractory.

Techniques: Molecular Weight, Tomography