1. Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study
- Author
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Sanjay Arya, Sherif Seif, Abhishek Kumar, and Vellore J Karthikeyan
- Subjects
intravascular lithotripsy ,medicine.medical_specialty ,medicine.medical_treatment ,stent underexpansion ,Calcified coronary lesions ,Case Report ,complication ,030204 cardiovascular system & hematology ,Lithotripsy ,Balloon ,Coronary artery disease ,03 medical and health sciences ,0302 clinical medicine ,Coronary stent ,medicine ,030212 general & internal medicine ,cardiovascular diseases ,business.industry ,percutaneous coronary intervention ,Stent ,Percutaneous coronary intervention ,medicine.disease ,equipment and supplies ,surgical procedures, operative ,stents ,Conventional PCI ,Medicine ,Radiology ,business ,coronary artery disease ,Calcification - Abstract
Management of heavily calcified lesions during percutaneous coronary intervention (PCI) is often associated with high incidence of complications and long-term adverse outcomes. There is growing evidence of the efficacy of intravascular lithotripsy (IVL) in de novo coronary lesion preparation; however, little experience has been documented within freshly deployed stent underexpansion. We report a 66-year-old male with a marked stent underexpansion despite extensive lesion preparation due to severe underlying calcification. The stent was resistant to balloon postdilatation; therefore, IVL was applied, resulting in excellent stent expansion. IVL could be considered for treating acute stent underexpansion caused by severe underlying calcification.
- Published
- 2021