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

Adrian Włodarczak; Piotr Rola; Mateusz Barycki; Jan Jakub Kulczycki; Marek Szudrowicz; Maciej Lesiak; Adrian Doroszko

doi:10.3390/jcm10091872

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

J Clin Med. 2021 Apr 26;10(9):1872. doi: 10.3390/jcm10091872.

Authors

Adrian Włodarczak¹, Piotr Rola², Mateusz Barycki², Jan Jakub Kulczycki¹, Marek Szudrowicz¹, Maciej Lesiak³, Adrian Doroszko⁴

Affiliations

¹ Department of Cardiology, The Copper Health Centre (MCZ), 59-300 Lubin, Poland.
² Department of Cardiology, Provincial Specialized Hospital in Legnica, 59-220 Legnica, Poland.
³ 1st Department of Cardiology, Poznan University of Medical Sciences, 61-491 Poznan, Poland.
⁴ Department of Internal Medicine, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland.

Abstract

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.

Keywords: acute coronary syndrome (ACS); calcified lesions; rota-lithotripsy; rotational atherectomy (RA); shockwave intravascular lithotripsy (S-IVL); undilatable lesions.