Intravascular Lithotripsy for Stent Underexpansion Despite Utilization of Rotational Atherectomy for Plaque Modification

Vinayak Nagaraja; Salahaddin Ubaid; Chee Khoo; Karim Ratib

doi:10.1016/j.carrev.2019.10.024

Intravascular Lithotripsy for Stent Underexpansion Despite Utilization of Rotational Atherectomy for Plaque Modification

Cardiovasc Revasc Med. 2020 Nov;21(11S):147-148. doi: 10.1016/j.carrev.2019.10.024. Epub 2019 Dec 18.

Authors

Vinayak Nagaraja¹, Salahaddin Ubaid², Chee Khoo², Karim Ratib³

Affiliations

¹ Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute of Primary Care and Health Sciences, Keele University, and Academic Dept of Cardiology, Royal Stoke Hospital, UK; Department of Cardiology, Prince of Wales Hospital and Community Health Services, Randwick, New South Wales, Australia.
² Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute of Primary Care and Health Sciences, Keele University, and Academic Dept of Cardiology, Royal Stoke Hospital, UK.
³ Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute of Primary Care and Health Sciences, Keele University, and Academic Dept of Cardiology, Royal Stoke Hospital, UK. Electronic address: Karim.RATIB@uhnm.nhs.uk.

PMID: 31862170
DOI: 10.1016/j.carrev.2019.10.024

Abstract

Percutaneous coronary intervention (PCI) in the context of heavily calcified coronary arteries can be challenging. Intravascular lithotripsy (IVL) has been suggested as an alternative to rotational atherectomy (RA). We report a case of stent under expansion, despite plaque modification using rotational atherectomy that was successfully managed with intravascular lithotripsy.

Publication types

Case Reports

MeSH terms

Atherectomy, Coronary*
Coronary Artery Disease / therapy
Humans
Lithotripsy*
Percutaneous Coronary Intervention*
Stents
Treatment Outcome
Vascular Calcification / therapy