{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:05:30Z","timestamp":1785409530707,"version":"3.56.0"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Management of heavily calcified coronary lesions remains challenging despite advances in plaque\u2010modifying technologies. Excimer laser coronary angioplasty (ELCA) is an effective adjunctive strategy with a low risk of no\u2010reflow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Summary<\/jats:title>\n                    <jats:p>A 75\u2010year\u2010old woman with non\u2013ST\u2010segment elevation acute coronary syndrome and severe left ventricular dysfunction, previously treated with thoracic radiotherapy, underwent percutaneous coronary intervention of a calcified left anterior descending artery lesion. Optical coherence tomography revealed an eruptive calcified nodule with thrombus and a concentric stenosis. ELCA was selected to minimize distal embolization; however, the procedure was complicated by multiple coronary perforations requiring covered stent implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case suggests that coronary perforation during ELCA may result from the interplay between lesion complexity, procedural factors, and radiation\u2010related vessel wall remodeling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70792","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:25:23Z","timestamp":1785407123000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Coronary Perforation During Excimer Laser Angioplasty in a Patient With Prior Thoracic Radiotherapy"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7154-7621","authenticated-orcid":false,"given":"Francesco Maria","family":"Sparasci","sequence":"first","affiliation":[{"name":"Department of Molecular Medicine University of Pavia Pavia Italy"},{"name":"Division of Cardiology, \u201cVito Fazzi\u201d Hospital Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2068-7351","authenticated-orcid":false,"given":"Alessandro","family":"Cafaro","sequence":"additional","affiliation":[{"name":"Division of Cardiology, \u201cVito Fazzi\u201d Hospital Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dionigi","family":"Fischetti","sequence":"additional","affiliation":[{"name":"Division of Cardiology, \u201cVito Fazzi\u201d Hospital Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4162-5384","authenticated-orcid":false,"given":"Alessandro","family":"Mandurino\u2010Mirizzi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, \u201cVito Fazzi\u201d Hospital Lecce Italy"},{"name":"Department of Experimental Medicine (DiMeS) University of Salento Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.15420\/icr.2024.20"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad342"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm15020766"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.24875\/RECICE.M25000537"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-023-03789-z"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2024.103025"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacbts.2018.01.014"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-015-1974-6"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2021.652761"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms26115401"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70792","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70792","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70792","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:25:23Z","timestamp":1785407123000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70792"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":10,"alternative-id":["10.1002\/ccd.70792"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70792","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"assertion":[{"value":"2026-05-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ccd.70792"}}