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Lookup NU author(s): Dr Murugu Veerasamy,
Dr Avais Jabbar,
Dr Jannath Ahmed,
Dr Mohaned Egred
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Under-expanded and under-deployed stents carry a high risk of restenosis and thrombosis, with inherent serious clinical complications. The management of under-expanded stents is a difficult clinical entity. Method. A retrospective analysis of prospectively collected data on all under-expanded, under-deployed stents that were managed by excimer laser, with and without contrast, performed at the Freeman Hospital, a large tertiary cardiac center, in the northeast of England. Results. Between November 2014 and September 2016, a total of 19 cases were treated with excimer laser with or without contrast, with the initial approach done without contrast. All cases were successful with a stepwise energy-level approach. There were no clinical, procedural, or in-hospital complications, with full expansion of the stents after laser application. Conclusion. The use of excimer laser with or without contrast offers a safe and effective method for managing under-expanded and under-deployed stents and potentially avoiding long-term complications of under-expansion.
Author(s): Veerasamy M, Gamal AS, Jabbar A, Ahmed JM, Egred M
Publication type: Article
Publication status: Published
Journal: Journal of Invasive Cardiology
Print publication date: 01/11/2017
Acceptance date: 24/03/2017
ISSN (print): 1042-3931
ISSN (electronic): 1557-2501
Publisher: HMP Communications