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Recently access to the coronary arteries became available to laser coronary angioplasty because of a new technique utilizes a pulsed laser source and multifiber guided catheters. Potential advantages of excimer laser revascularisation include concomitant plaque debulking and thrombus removal and facilitation of adjunct stenting. Improved catheter design and improved technique and firmer indications have led to expansion of applications for laser coronary angioplasty. These include long lesions, ostial disease, saphenous veins, chronic total occlusions, moderately calcified lesions, thrombus rich lesions, failed balloon angioplasty and in stent restenosis. Laser coronary angioplasty represents a powerful tool to prepare the resistant lesions during conventional balloon angioplasty.

Excimer Laser Coronary Angioplasty with Multifiber Catheter: Present Status and Problem