Bail-out unexpanded stent implantation in acute left main dissection treated with intra coronary lithotripsy: a case report.

ABSTRACT:

Background

The percutaneous treatment of heavily calcified coronary lesions is challenging and presents high rate of complications. Unexpandable stent is one of the most serious complication. Both of these conditions may benefit from the intracoronary lithotripsy (ICL-Shockwave^®), a new coronary percutaneous technique.

Case summary

This case report describes a man treated with percutaneous coronary intervention (PCI) for a left main (LM) severe calcified lesion. The PCI was complicated by a huge dissection of LM in a not completely expandable lesion. A bail-out stent implantation was performed with residual unexpansion. The ICL permitted to expand acutely the stent and obtain an optimal final result.

Discussion

Familiarity with dedicated techniques and devi

SUBMITTER: Tumminello G 

PROVIDER: S-EPMC6939817 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature