Intravascular Lithotripsy in Calcified Coronary Lesions: A Case Report and Review
1. Department of Cardiology, First Naval Hospital of Southern Theater Command, PLA, Zhanjiang 524005, China
2. Department of Outpatient,, First Naval Hospital of Southern Theater Command, PLA, Zhanjiang 524005, China
3. Catheterization Lab, First Naval Hospital of Southern Theater Command, PLA, Zhanjiang 524005, China
| Abstract: | Objective: To investigate the effectiveness and precautions of shockwave-Intravascular Lithotripsy in severe calcified coronary artery disease. Methods: Three cases of severe calcified coronary artery disease treated with shockwave-Intravascular Lithotripsy were reviewed, and the literature on the application of shockwave- Intravascular Lithotripsy in coronary interventional therapy was systematically reviewed. Results: Severe calcified coronary artery lesions were found in all 3 patients by coronary angiography, and in 2 of them, intracoronary optical coherence imaging was used to further evaluate the location, type, and severity of calcification. All the 3 patients were treated with a shockwave-Intravascular Lithotripsy balloon catheter to help complete the pre-treatment of calcification lesions, and finally successfully implanted stents, achieving clinical success in coronary interventional therapy. Conclusion: Shockwave- Intravascular Lithotripsy is a safe and effective method for interventional treatment of severe calcification. |
| Keywords: | Intravascular Lithotripsy; Coronary Calcified Lesion; Balloon Angioplasty; Plaque Modification |
| DOI: | 10.57237/j.wjcm.2023.03.002 |
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Received: 28 June 2023
Accepted: 3 August 2023
Published Online: 29 August 2023
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