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Intravascular Lithotripsy for Severe RVOT Calcification to Optimize Transcatheter Pulmonary Valve Replacement

Authors :
Nabil Sabbak, MD
Kara Denby, MD
Anirudh Kumar, MD
Ghazaleh Goldar, MD
Joanna Ghobrial, MD
Source :
JACC: Case Reports, Vol 19, Iss , Pp 101926- (2023)
Publication Year :
2023
Publisher :
Elsevier, 2023.

Abstract

The presence of severe right ventricular outflow tract calcification may preclude safe and effective transcatheter pulmonary valve replacement in patients with pulmonary allograft stenosis owing to the risk of conduit tear and suboptimal annular expansion. Debulking calcium using intravascular lithotripsy within the right ventricular outflow tract may mitigate this risk and improve valve hemodynamics. (Level of Difficulty: Advanced.)

Details

Language :
English
ISSN :
26660849
Volume :
19
Issue :
101926-
Database :
Directory of Open Access Journals
Journal :
JACC: Case Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.19a4cbfdc24e9486d4888e5d298de8
Document Type :
article
Full Text :
https://doi.org/10.1016/j.jaccas.2023.101926