The last resort during complex retrograde percutaneous coronary chronic total occlusion intervention: Extraplaque intracoronary lithotripsy to externally crush a heavy calcified occluded stent.

Autor: Garbo R; Interventional Cardiology, Maria Pia Hospital, Turin, Italy., Di Russo C; Interventional Cardiology, Sandro Pertini Hospital, ASL Roma 2, Rome, Italy., Sciahbasi A; Interventional Cardiology, Sandro Pertini Hospital, ASL Roma 2, Rome, Italy., Fedele S; Interventional Cardiology, Sandro Pertini Hospital, ASL Roma 2, Rome, Italy.
Jazyk: angličtina
Zdroj: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2022 Feb; Vol. 99 (2), pp. 497-501. Date of Electronic Publication: 2021 Dec 23.
DOI: 10.1002/ccd.30050
Abstrakt: Chronic total occlusions (CTO) due to in-stent restenosis represent a challenging lesion subset for percutaneous coronary intervention in particular when associated with coronary calcification. Sometimes CTO lesions require antegrade or retrograde dissection-re-entry techniques with extraplaque dilation. Recently intravascular lithotripsy (IVL) emerged as a therapeutic option for the treatment of severely calcified coronary lesions but its role in extraplaque dilation is not described. In this report, we present a case of retrograde complex percutaneous coronary chronic total occlusion revascularization accomplished by the use of extraplaque IVL necessary to externally crush a heavy calcified previous implanted stent.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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