Intracoronary Lithotripsy: A New Solution for Undilatable In-Stent Chronic Total Occlusions

Percutaneous coronary intervention was performed in a flush in-stent right coronary artery chronic total occlusion. Successful retrograde recanalization was performed but the lesion was balloon undilatable as confirmed by intravascular ultrasound. High-pressure post-dilation with noncompliant and pl...

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Detalles Bibliográficos
Autores principales: Karacsonyi, Judit, Nikolakopoulos, Ilias, Vemmou, Evangelia, Rangan, Bavana V., Brilakis, Emmanouil S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Interventional Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311198/
https://www.ncbi.nlm.nih.gov/pubmed/34317625
http://dx.doi.org/10.1016/j.jaccas.2021.03.014
Descripción
Sumario:Percutaneous coronary intervention was performed in a flush in-stent right coronary artery chronic total occlusion. Successful retrograde recanalization was performed but the lesion was balloon undilatable as confirmed by intravascular ultrasound. High-pressure post-dilation with noncompliant and plaque modification balloons failed, but intravascular lithotripsy successfully expanded the lesion. (Level of Difficulty: Advanced.)

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