Recenzija, prikaz
https://doi.org/10.20471/acc.2024.63.s1.19
Intravascular Lithotripsy for Severe Stent Underexpansion
Dario Dilber
; Magdalena Clinic for Cardiovascular Disease at the School of Medicine of the Josip Juraj Strossmayer University of Osijek, Krapinske Toplice, Croatia; School of Medicine of the University of Split, Split, Croatia; University North, Varaždin, Croatia
*
Igor Šesto
; Magdalena Clinic for Cardiovascular Disease at the School of Medicine of the Josip Juraj Strossmayer University of Osijek, Krapinske Toplice, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University of Osijek, Osijek, Croatia
Janko Szavits-Nossan
; Magdalena Clinic for Cardiovascular Disease at the School of Medicine of the Josip Juraj Strossmayer University of Osijek, Krapinske Toplice, Croatia
Alan Jelić
; Magdalena Clinic for Cardiovascular Disease at the School of Medicine of the Josip Juraj Strossmayer University of Osijek, Krapinske Toplice, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University of Osijek, Osijek, Croatia
Andrija Škopljanac Mačina
; Magdalena Clinic for Cardiovascular Disease at the School of Medicine of the Josip Juraj Strossmayer University of Osijek, Krapinske Toplice, Croatia; Faculty of Medicine, J.J. Strossmayer University of Osijek, Osijek, Croatia
Krešimir Štambuk
; Magdalena Clinic for Cardiovascular Disease at the School of Medicine of the Josip Juraj Strossmayer University of Osijek, Krapinske Toplice, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University of Osijek, Osijek, Croatia; Faculty of Medicine, J.J. Strossmayer University of Osijek, Osijek, Croatia
* Dopisni autor.
Sažetak
Management of heavily calcified lesions during percutaneous coronary intervention
(PCI) is often associated with a high incidence of complications and long-term adverse outcomes as the
suboptimal coronary stent expansion due to calcified lesion is one of the strongest predictors of adverse
outcomes. Shockwave intravascular lithotripsy (S-IVL) is a new technique used in the optimal debulking
and preparation of severely calcified coronary artery stenoses, but there is few data on its efficacy in acute
or postponed optimization of underexpanded stents. We report a case of a 66-year-old male patient with
severe underlying calcification of LAD and a marked stent underexpansion after PCI of chronic total
occlusion (CTO) due to a lack of adequate predilatation and postdilatation, where S-IVL was applied,
resulting in excellent stent expansion. S-IVL could be considered for treating acute and late stent underexpansion
caused by severe underlying calcification.
Ključne riječi
Calcified coronary lesions; Complication; Coronary artery disease; Intravascular lithotripsy; Percutaneous coronary intervention; Stent underexpansion
Hrčak ID:
321429
URI
Datum izdavanja:
1.3.2024.
Posjeta: 0 *