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Giandomenico Tarsia Heart and Vessels Department, San Carlo Hospital, Potenza, Italy

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Mario de Michele Division of Cardiology, Moscati Hospital, Aversa, Italy
Division of Cardiology, Department of Internal Medicine, University of Rome ‘Tor Vergata,’, Rome, Italy

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Nicola Viceconte Heart and Vessels Department, San Carlo Hospital, Potenza, Italy

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Kensuke Takagi Interventional Cardiology Unit, San Raffaele Hospital-Emo GVM Centro Cuore Columbus, Milan, Italy
New Tokyo Hospital, Tokyo, Japan

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Carmine Biscione Division of Cardiology, Department of Internal Medicine, University of Rome ‘Tor Vergata,’, Rome, Italy

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Giuseppe del Prete Heart and Vessels Department, San Carlo Hospital, Potenza, Italy

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Domenico Polosa Heart and Vessels Department, San Carlo Hospital, Potenza, Italy

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Roccoaldo Osanna Heart and Vessels Department, San Carlo Hospital, Potenza, Italy

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Pasquale Lisanti Heart and Vessels Department, San Carlo Hospital, Potenza, Italy

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Abstract

Objective

To assess the efficacy and safety of laser-assisted percutaneous coronary interventions (PCI) in an unselected population.

Methods

One hundred consecutive patients, who underwent a laser assisted PCI between January 2008 and March 2012, were included in the present study. Fifty-one patients underwent laser ablation for thrombus vaporization (Group 1), 36 patients for neointima/plaque debulking (Group 2) and 13 patients for lesion compliance modification in calcified lesions (Group 3).

Results

The rate of in-hospital serious events was 2%. The cumulative laser success was 82%, and it was significantly higher for Group 1 and Group 2 in comparison with Group 3 (p=0.001). Furthermore, the need for repeat revascularization was significantly higher in the Group 3 compared with the others two groups (46% vs. 8% for Group 1 and 11% for Group 2, p=0.03). The MACE rate was 14%. There was a trend toward a higher MACE rate in the Group 3 compared with others two groups (p=0.05).

Conclusions

Laser ablation is an effective and safe tool for complex PCI. Patients underwent laser for thrombus vaporization or for neointima/plaque debulking had better immediate success and better outcome at follow-up than patients underwent laser for lesion compliance modification.

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2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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