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Deferred Intravascular Lithotripsy-Facilitated Stenting in ACS: Novel Approach to Improve PCI Outcomes in Severe Calcification?

Moderate/severe calcification, present in approximately one-third of culprit lesions in acute coronary syndromes (ACS), portends unfavorable procedural and post-primary percutaneous coronary intervention outcomes. Intravascular lithotripsy is a novel technique using shockwaves to fracture calcific p...

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Detalles Bibliográficos
Autores principales: Patel, Sanjay, Madhavan, Mahesh V., Spina, Roberto, Figtree, Gemma A., Karimi Galougahi, Keyvan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8312124/
https://www.ncbi.nlm.nih.gov/pubmed/34317038
http://dx.doi.org/10.1016/j.jaccas.2020.07.043
Descripción
Sumario:Moderate/severe calcification, present in approximately one-third of culprit lesions in acute coronary syndromes (ACS), portends unfavorable procedural and post-primary percutaneous coronary intervention outcomes. Intravascular lithotripsy is a novel technique using shockwaves to fracture calcific plaques. Presenting a clinical case, we enumerate efficacy and safety parameters in using intravascular lithotripsy in ACS. (Level of Difficulty: Advanced.)