Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience

Heavy calcification remains one of the greatest challenges in the treatment of coronary artery disease (CAD), especially in subjects with an acute coronary syndrome (ACS). In the present case series study of high-risk patients with ACS, including both STEMI and NSTEMI, we performed a rota-lithotrips...

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Main Authors: Adrian Włodarczak, Piotr Rola, Mateusz Barycki, Jan Jakub Kulczycki, Marek Szudrowicz, Maciej Lesiak, Adrian Doroszko
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/9/1872
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spelling doaj-41299b7d6260401e9f0928adada0cb142021-04-26T23:02:15ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01101872187210.3390/jcm10091872Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man ExperienceAdrian Włodarczak0Piotr Rola1Mateusz Barycki2Jan Jakub Kulczycki3Marek Szudrowicz4Maciej Lesiak5Adrian Doroszko6Department of Cardiology, The Copper Health Centre (MCZ), 59-300 Lubin, PolandDepartment of Cardiology, Provincial Specialized Hospital in Legnica, 59-220 Legnica, PolandDepartment of Cardiology, Provincial Specialized Hospital in Legnica, 59-220 Legnica, PolandDepartment of Cardiology, The Copper Health Centre (MCZ), 59-300 Lubin, PolandDepartment of Cardiology, The Copper Health Centre (MCZ), 59-300 Lubin, Poland1st Department of Cardiology, Poznan University of Medical Sciences, 61-491 Poznan, PolandDepartment of Internal Medicine, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, PolandHeavy calcification remains one of the greatest challenges in the treatment of coronary artery disease (CAD), especially in subjects with an acute coronary syndrome (ACS). In the present case series study of high-risk patients with ACS, including both STEMI and NSTEMI, we performed a rota-lithotripsy—a combination of rotational atherectomy with subsequent intravascular lithotripsy—as a novel bail-out strategy to facilitate stent delivery in a tortuous calcified coronary artery.https://www.mdpi.com/2077-0383/10/9/1872rota-lithotripsyacute coronary syndrome (ACS)shockwave intravascular lithotripsy (S-IVL)rotational atherectomy (RA)calcified lesionsundilatable lesions
collection DOAJ
language English
format Article
sources DOAJ
author Adrian Włodarczak
Piotr Rola
Mateusz Barycki
Jan Jakub Kulczycki
Marek Szudrowicz
Maciej Lesiak
Adrian Doroszko
spellingShingle Adrian Włodarczak
Piotr Rola
Mateusz Barycki
Jan Jakub Kulczycki
Marek Szudrowicz
Maciej Lesiak
Adrian Doroszko
Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience
Journal of Clinical Medicine
rota-lithotripsy
acute coronary syndrome (ACS)
shockwave intravascular lithotripsy (S-IVL)
rotational atherectomy (RA)
calcified lesions
undilatable lesions
author_facet Adrian Włodarczak
Piotr Rola
Mateusz Barycki
Jan Jakub Kulczycki
Marek Szudrowicz
Maciej Lesiak
Adrian Doroszko
author_sort Adrian Włodarczak
title Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience
title_short Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience
title_full Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience
title_fullStr Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience
title_full_unstemmed Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience
title_sort rota-lithotripsy—a novel bail-out strategy for calcified coronary lesions in acute coronary syndrome. the first-in-man experience
publisher MDPI AG
series Journal of Clinical Medicine
issn 2077-0383
publishDate 2021-04-01
description Heavy calcification remains one of the greatest challenges in the treatment of coronary artery disease (CAD), especially in subjects with an acute coronary syndrome (ACS). In the present case series study of high-risk patients with ACS, including both STEMI and NSTEMI, we performed a rota-lithotripsy—a combination of rotational atherectomy with subsequent intravascular lithotripsy—as a novel bail-out strategy to facilitate stent delivery in a tortuous calcified coronary artery.
topic rota-lithotripsy
acute coronary syndrome (ACS)
shockwave intravascular lithotripsy (S-IVL)
rotational atherectomy (RA)
calcified lesions
undilatable lesions
url https://www.mdpi.com/2077-0383/10/9/1872
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