Intracoronary Lithotripsy

Percutaneous coronary intervention was performed in a flush in-stent right coronary artery chronic total occlusion. Successful retrograde recanalization was performed but the lesion was balloon undilatable as confirmed by intravascular ultrasound. High-pressure post-dilation with noncompliant and pl...

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Bibliographic Details
Main Authors: Judit Karacsonyi, MD, PhD, Ilias Nikolakopoulos, MD, Evangelia Vemmou, MD, Bavana V. Rangan, BDS, MPH, Emmanouil S. Brilakis, MD, PhD
Format: Article
Language:English
Published: Elsevier 2021-05-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084921003053
Description
Summary:Percutaneous coronary intervention was performed in a flush in-stent right coronary artery chronic total occlusion. Successful retrograde recanalization was performed but the lesion was balloon undilatable as confirmed by intravascular ultrasound. High-pressure post-dilation with noncompliant and plaque modification balloons failed, but intravascular lithotripsy successfully expanded the lesion. (Level of Difficulty: Advanced.)
ISSN:2666-0849