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.


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