Real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy

Real-world data regarding the efficacy and safety of coronary intravascular lithotripsy (IVL) are lacking. We conducted a study of 50 consecutive patients (64 lesions) who underwent IVL. 3 patients suffered in-hospital mortality unrelated to the IVL; there was no other occurrence of MACE up to 30 da...

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Autores principales: Wiens, Evan J., Sklar, Jaime C., Wei, Yi Hui, Aleem, Qaiser, Minhas, Kunal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Research Brief
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514397/
https://www.ncbi.nlm.nih.gov/pubmed/34627588
http://dx.doi.org/10.1016/j.ihj.2021.09.002
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author Wiens, Evan J.
Sklar, Jaime C.
Wei, Yi Hui
Aleem, Qaiser
Minhas, Kunal
author_facet Wiens, Evan J.
Sklar, Jaime C.
Wei, Yi Hui
Aleem, Qaiser
Minhas, Kunal
author_sort Wiens, Evan J.
collection PubMed
description Real-world data regarding the efficacy and safety of coronary intravascular lithotripsy (IVL) are lacking. We conducted a study of 50 consecutive patients (64 lesions) who underwent IVL. 3 patients suffered in-hospital mortality unrelated to the IVL; there was no other occurrence of MACE up to 30 days. Angiographic success was nearly universal (98% of patients with residual stenosis <50%, 96% of patients with TIMI 3 flow) and complication was rare, including among patients undergoing IVL for in-stent restenosis or left main coronary artery lesions. In a high-risk real-world cohort, IVL was a safe and effective treatment for highly-calcified coronary lesions.
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spelling pubmed-85143972021-10-21 Real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy Wiens, Evan J. Sklar, Jaime C. Wei, Yi Hui Aleem, Qaiser Minhas, Kunal Indian Heart J Research Brief Real-world data regarding the efficacy and safety of coronary intravascular lithotripsy (IVL) are lacking. We conducted a study of 50 consecutive patients (64 lesions) who underwent IVL. 3 patients suffered in-hospital mortality unrelated to the IVL; there was no other occurrence of MACE up to 30 days. Angiographic success was nearly universal (98% of patients with residual stenosis <50%, 96% of patients with TIMI 3 flow) and complication was rare, including among patients undergoing IVL for in-stent restenosis or left main coronary artery lesions. In a high-risk real-world cohort, IVL was a safe and effective treatment for highly-calcified coronary lesions. Elsevier 2021 2021-09-06 /pmc/articles/PMC8514397/ /pubmed/34627588 http://dx.doi.org/10.1016/j.ihj.2021.09.002 Text en © 2021 Cardiological Society of India. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Brief
Wiens, Evan J.
Sklar, Jaime C.
Wei, Yi Hui
Aleem, Qaiser
Minhas, Kunal
Real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy
title Real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy
title_full Real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy
title_fullStr Real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy
title_full_unstemmed Real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy
title_short Real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy
title_sort real-world outcomes in treatment of highly calcified coronary lesions with intravascular shockwave lithotripsy
topic Research Brief
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514397/
https://www.ncbi.nlm.nih.gov/pubmed/34627588
http://dx.doi.org/10.1016/j.ihj.2021.09.002
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