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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Radcliffe Cardiology
2022
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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. |
format | Online Article Text |
id | pubmed-10437410 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Radcliffe Cardiology |
record_format | MEDLINE/PubMed |
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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