Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study

Management of heavily calcified lesions during percutaneous coronary intervention (PCI) is often associated with high incidence of complications and long-term adverse outcomes. There is growing evidence of the efficacy of intravascular lithotripsy (IVL) in de novo coronary lesion preparation; howeve...

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Autores principales:	Sherif Seif, Abhishek Kumar, Sanjay Arya, Vellore J. Karthikeyan
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	calcified coronary lesions complication coronary artery disease intravascular lithotripsy percutaneous coronary intervention stent underexpansion stents Medicine R
Acceso en línea:	https://doaj.org/article/10a98bbdd0684f2abf6e6c02e2545297
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spelling	oai:doaj.org-article:10a98bbdd0684f2abf6e6c02e25452972021-12-02T16:35:05ZIntravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study2231-07702249-446410.4103/ajm.ajm_200_20https://doaj.org/article/10a98bbdd0684f2abf6e6c02e25452972021-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_200_20https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Management of heavily calcified lesions during percutaneous coronary intervention (PCI) is often associated with high incidence of complications and long-term adverse outcomes. There is growing evidence of the efficacy of intravascular lithotripsy (IVL) in de novo coronary lesion preparation; however, little experience has been documented within freshly deployed stent underexpansion. We report a 66-year-old male with a marked stent underexpansion despite extensive lesion preparation due to severe underlying calcification. The stent was resistant to balloon postdilatation; therefore, IVL was applied, resulting in excellent stent expansion. IVL could be considered for treating acute stent underexpansion caused by severe underlying calcification.Sherif SeifAbhishek KumarSanjay AryaVellore J. KarthikeyanThieme Medical and Scientific Publishers Pvt. Ltd.articlecalcified coronary lesionscomplicationcoronary artery diseaseintravascular lithotripsypercutaneous coronary interventionstent underexpansionstentsMedicineRENAvicenna Journal of Medicine, Vol 11, Iss 01, Pp 54-57 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	calcified coronary lesions complication coronary artery disease intravascular lithotripsy percutaneous coronary intervention stent underexpansion stents Medicine R
spellingShingle	calcified coronary lesions complication coronary artery disease intravascular lithotripsy percutaneous coronary intervention stent underexpansion stents Medicine R Sherif Seif Abhishek Kumar Sanjay Arya Vellore J. Karthikeyan Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study
description	Management of heavily calcified lesions during percutaneous coronary intervention (PCI) is often associated with high incidence of complications and long-term adverse outcomes. There is growing evidence of the efficacy of intravascular lithotripsy (IVL) in de novo coronary lesion preparation; however, little experience has been documented within freshly deployed stent underexpansion. We report a 66-year-old male with a marked stent underexpansion despite extensive lesion preparation due to severe underlying calcification. The stent was resistant to balloon postdilatation; therefore, IVL was applied, resulting in excellent stent expansion. IVL could be considered for treating acute stent underexpansion caused by severe underlying calcification.
format	article
author	Sherif Seif Abhishek Kumar Sanjay Arya Vellore J. Karthikeyan
author_facet	Sherif Seif Abhishek Kumar Sanjay Arya Vellore J. Karthikeyan
author_sort	Sherif Seif
title	Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study
title_short	Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study
title_full	Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study
title_fullStr	Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study
title_full_unstemmed	Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study
title_sort	intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: a case report study
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/10a98bbdd0684f2abf6e6c02e2545297
work_keys_str_mv	AT sherifseif intravascularlithotripsytotreatanunderexpandedcoronarystentduringindexprocedureacasereportstudy AT abhishekkumar intravascularlithotripsytotreatanunderexpandedcoronarystentduringindexprocedureacasereportstudy AT sanjayarya intravascularlithotripsytotreatanunderexpandedcoronarystentduringindexprocedureacasereportstudy AT vellorejkarthikeyan intravascularlithotripsytotreatanunderexpandedcoronarystentduringindexprocedureacasereportstudy
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Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study

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