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Coronary Intravascular Lithotripsy in a Tight Circumferential Calcified Lesion in the Presence of Haematoma Extending into Left Main Coronary Artery After Rotational Atherectomy

Calcified disease increases procedural challenges and is associated with worse outcomes in percutaneous coronary intervention. Coronary intravascular lithotripsy is a new balloon-based modality for treating calcified disease with deep circumferential calcification. Its main benefit is simplicity and...

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Autores principales: Fang, Jonathan Xinguo, Yung, Arthur Sze-Yue, Lam, Simon Cheung-Chi, Tam, Frankie Chor-Cheung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Radcliffe Cardiology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10437410/
https://www.ncbi.nlm.nih.gov/pubmed/37600899
http://dx.doi.org/10.15420/icr.2021.18
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author Fang, Jonathan Xinguo
Yung, Arthur Sze-Yue
Lam, Simon Cheung-Chi
Tam, Frankie Chor-Cheung
author_facet Fang, Jonathan Xinguo
Yung, Arthur Sze-Yue
Lam, Simon Cheung-Chi
Tam, Frankie Chor-Cheung
author_sort Fang, Jonathan Xinguo
collection PubMed
description Calcified disease increases procedural challenges and is associated with worse outcomes in percutaneous coronary intervention. Coronary intravascular lithotripsy is a new balloon-based modality for treating calcified disease with deep circumferential calcification. Its main benefit is simplicity and safety compared to atherectomy. However, atherectomy remains the modality of choice in balloon-uncrossable lesions. More than one modality is often needed for treatment of calcified disease. The authors present a case of a balloon-uncrossable calcified ostial left circumflex lesion which was first treated with rotational atherectomy. However, there was haematoma formation in the ostial circumflex extending into left main coronary artery, together with suboptimal preparation of calcified disease. Intravascular coronary lithotripsy was then used to successfully prepare the calcified lesion for stenting without causing extension of the haematoma.
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spelling pubmed-104374102023-08-19 Coronary Intravascular Lithotripsy in a Tight Circumferential Calcified Lesion in the Presence of Haematoma Extending into Left Main Coronary Artery After Rotational Atherectomy Fang, Jonathan Xinguo Yung, Arthur Sze-Yue Lam, Simon Cheung-Chi Tam, Frankie Chor-Cheung Interv Cardiol Coronary Calcified disease increases procedural challenges and is associated with worse outcomes in percutaneous coronary intervention. Coronary intravascular lithotripsy is a new balloon-based modality for treating calcified disease with deep circumferential calcification. Its main benefit is simplicity and safety compared to atherectomy. However, atherectomy remains the modality of choice in balloon-uncrossable lesions. More than one modality is often needed for treatment of calcified disease. The authors present a case of a balloon-uncrossable calcified ostial left circumflex lesion which was first treated with rotational atherectomy. However, there was haematoma formation in the ostial circumflex extending into left main coronary artery, together with suboptimal preparation of calcified disease. Intravascular coronary lithotripsy was then used to successfully prepare the calcified lesion for stenting without causing extension of the haematoma. Radcliffe Cardiology 2022-09-23 /pmc/articles/PMC10437410/ /pubmed/37600899 http://dx.doi.org/10.15420/icr.2021.18 Text en Copyright © 2022, Radcliffe Cardiology https://creativecommons.org/licenses/by-nc/4.0/This work is open access under the CC-BY-NC 4.0 License which allows users to copy, redistribute and make derivative works for non-commercial purposes, provided the original work is cited correctly.
spellingShingle Coronary
Fang, Jonathan Xinguo
Yung, Arthur Sze-Yue
Lam, Simon Cheung-Chi
Tam, Frankie Chor-Cheung
Coronary Intravascular Lithotripsy in a Tight Circumferential Calcified Lesion in the Presence of Haematoma Extending into Left Main Coronary Artery After Rotational Atherectomy
title Coronary Intravascular Lithotripsy in a Tight Circumferential Calcified Lesion in the Presence of Haematoma Extending into Left Main Coronary Artery After Rotational Atherectomy
title_full Coronary Intravascular Lithotripsy in a Tight Circumferential Calcified Lesion in the Presence of Haematoma Extending into Left Main Coronary Artery After Rotational Atherectomy
title_fullStr Coronary Intravascular Lithotripsy in a Tight Circumferential Calcified Lesion in the Presence of Haematoma Extending into Left Main Coronary Artery After Rotational Atherectomy
title_full_unstemmed Coronary Intravascular Lithotripsy in a Tight Circumferential Calcified Lesion in the Presence of Haematoma Extending into Left Main Coronary Artery After Rotational Atherectomy
title_short Coronary Intravascular Lithotripsy in a Tight Circumferential Calcified Lesion in the Presence of Haematoma Extending into Left Main Coronary Artery After Rotational Atherectomy
title_sort coronary intravascular lithotripsy in a tight circumferential calcified lesion in the presence of haematoma extending into left main coronary artery after rotational atherectomy
topic Coronary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10437410/
https://www.ncbi.nlm.nih.gov/pubmed/37600899
http://dx.doi.org/10.15420/icr.2021.18
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