Excimer Laser Coronary Atherectomy to Treat Calcified Lesions.

Abstract

We fully agree with the authors on the benefits of intravascular lithotripsy (IVL), a technology that has changed the treatment of calcified lesions because of its safety and efficacy, as well as having potential advantages over other plaque modification techniques. Its main limitation is the crossing profile when treating a very tight and severely calcified stenosis where rotational (RA) or orbital atherectomy (OA) are very useful, as the authors describe.