{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:08:29Z","timestamp":1778825309575,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Excimer laser coronary angioplasty (ELCA) is used in complex percutaneous coronary intervention (PCI). ELCA\u2010related coronary artery perforation (CAP) is uncommon, and its long\u2010term outcomes remain poorly defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of this study was to characterize the long\u2010term clinical and angiographic course of ELCA\u2010related CAP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 1023 consecutive ELCA\u2010assisted PCI procedures. CAP incidence was assessed, and the clinical and procedural features of CAP and non\u2010CAP cases were compared. The predictors of CAP were explored using univariable logistic regression analysis. All patients with CAP underwent follow\u2010up angiography, and CAP was graded using the Ellis criteria. Pseudoaneurysm (PsA)\u2014defined as a contrast\u2010filled outpouching with delayed washout\u2014was confirmed using intravascular ultrasound\/optical coherence tomography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      CAP occurred in 10\/1023 procedures (1.0%). Baseline characteristics, including age, sex, and acute coronary syndrome presentation, were similar between the groups. ELCA catheter sizes and nominal laser settings were also comparable. Bifurcation lesions were more frequent in patients with CAP than in those without CAP (8\/10 [80.0%] vs. 335\/1013 [32.8%];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). Diabetes mellitus was also more common (7\/10 [70.0%] vs. 376\/1013 [37.1%];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.033). No in\u2010hospital deaths were observed in the CAP group. At the index event, 6\/10 CAP cases received a covered stent (CS) and 4\/10 did not. On follow\u2010up angiography (median 65 days; range 11\u2013790 days), PsA was present in 4\/4 non\u2010CS patients and 0\/6 CS patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CAP occurred in 1.0% of patients, and PsA developed in every non\u2010CS case. These findings support planned follow\u2010up imaging for selected ELCA\u2010related perforations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70580","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T19:44:11Z","timestamp":1774554251000},"page":"2050-2059","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Coronary Perforation and Late Pseudoaneurysm Outcomes After Excimer Laser Angioplasty"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6748-1505","authenticated-orcid":false,"given":"Naoki","family":"Shibata","sequence":"first","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasunori","family":"Kanzaki","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3619-3794","authenticated-orcid":false,"given":"Naoki","family":"Yoshioka","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihito","family":"Arao","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuki","family":"Shimojo","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoshito","family":"Karasawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuta","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahumi","family":"Ohta","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Ohashi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Mamiya","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1444-090X","authenticated-orcid":false,"given":"Itsuro","family":"Morishima","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ogaki Municipal Hospital Ogaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29251"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2010.10.092"},{"key":"e_1_2_11_4_1","volume-title":"Excimer Laser Coronary Angioplasty","author":"Mahmood U. 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