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Acute and Follow-up Results of Laser Angioplasty : Single Center Experience

NITHI MAHANONDA, M.D.*, DAMRAS TRESUKOSOL, M.D.***, SARUN KHUANPRASERT, M.D.** PRADIT PANCHAVINNIN, M.D.***, CHUNHAKASEM CHOTINAIW ATTARAKUL, M.D.*, CHOLADA SUKRUNGREANG, M.D.*, REWAT PHANKINGTHONGKUM, M.D.***, CHARUW AN KANGKAGATE, M.S.(Biostat)*, SIRILUCK SURIYABANTAENG, B.Sc.*, TAVORN JAIDEE, Cert.PN.*, WANIDA CHIRACHEVIN, B.Sc.*, SANYA KAEOKAM-AIM, Cert.PN*, SUPHACHAI CHAITHIRAPHAN, M.D.*

Affiliation : *Her Majesty Cardiac Center, Faculty of Medicine Siriraj Hospital, Mahidol University **Division of Cardiology, Department of Medicine, Chiengmai University, Chiengmai 50200 ***Division of Cardiology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University. Bangkok 10700

Abstract
Excimer laser angioplasty was used to treat total occluded coronary arteries and instent restenosis lesions with high success rate. To assess immediate and long-term results of patients treated with excimer laser, we analyzed demographic information and the immediate results of 44 patients who underwent ELCA. The patients were followed up and assessed for clinical restenosis. The initial success rate of ELCA was 86.4 per cent which is comparable to plain balloon angioplasty performed during the same period. Clinical restenosis was 29 per cent. In conclusion, ELCA for patients with coronary artery l~isease can be performed with initial high success rate and reasonable long-term restenosis.

Keywords : Laser Angioplasty, Excimer Laser, Instent Restenosis, Total Occlusion


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