Changing paradigm for treatment of heavily calcified coronary artery disease. A complementary role of rotational atherectomy and intravascular lithotripsy with shockwave balloon: a case report.

ABSTRACT:

Background

Management of heavily calcified coronary arteries is still a major challenge in interventional cardiology. Inadequate stent expansion in calcific lesions is the single most important predictor of stent thrombosis and in-stent restenosis. Rotational atherectomy (RA) is an important tool to modify the calcium burden but is associated with limitations and requires specific skills. Intravascular lithotripsy (IVL) is a novel technique to treat calcified stenotic lesions and has been proposed as an alternative to RA with promising results.

Case summary

We report a case of a patient with severely calcified right coronary artery stenosis successfully treated with combination of RA and IVL.

Discussion

In this case, we demonstrate that the RA and IVL are complementar

SUBMITTER: Tehrani S 

PROVIDER: S-EPMC7898579 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature