Intravascular Lithotripsy for Underexpanded Stent in Heavily Calcified Coronary Artery Disease.

Autor: Raxwal T; Access Health Care Physicians, Hudson, Florida, USA., Balhara C; Regional Medical Center Bayonet Point, Hudson, Florida, USA., Parekh D; Access Health Care Physicians, Hudson, Florida, USA.
Jazyk: angličtina
Zdroj: Case reports in cardiology [Case Rep Cardiol] 2022 Jul 15; Vol. 2022, pp. 7075933. Date of Electronic Publication: 2022 Jul 15 (Print Publication: 2022).
DOI: 10.1155/2022/7075933
Abstrakt: Objective: Can intravascular lithotripsy safely modify calcium in an underexpanded stent and result in optimal expansion and improved outcome? Coronary artery calcification results in difficulty with stent delivery and expansion and is associated with adverse outcomes. Intravascular lithotripsy (IVL) by delivering acoustic pressure waves modifies calcium plaque that improve vessel compliance resulting in optimizing stent deployment.
Results: A 63-year-old patient presented with acute coronary syndrome with symptoms of unstable angina who underwent angiography that showed calcified right coronary artery which was treated with balloon angioplasty and stenting with drug eluting stent. However, after multiple inflations with noncompliant balloon, the patient was noted to have persistent residual in stent stenosis of 70%. Stenotic lesion in poorly expanded stent was treated with Shockwave C2 Coronary Intravascular Lithotripsy catheter resulting in 0% residual stenosis. The patient was followed for major adverse cardiovascular events at 30 days and 12 months. The patient remained MACE free at 30 days and 12 months.
Conclusions: Coronary IVL safely and effectively facilitated stent expansion in severely calcified lesion in a poorly expanded stent with MACE free at 12-month follow-up.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2022 Tejas Raxwal et al.)
Databáze: MEDLINE
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