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CC BY-NC-ND 4.0 · Avicenna J Med 2021; 11(01): 54-57
DOI: 10.4103/ajm.ajm_200_20
Case Report

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

Sherif Seif
Cardiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Cardiology Department, Royal Albert Edward Infirmary, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, United Kingdom
,
Abhishek Kumar
Cardiology Department, Royal Albert Edward Infirmary, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, United Kingdom
,
Sanjay Arya
Cardiology Department, Royal Albert Edward Infirmary, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, United Kingdom
,
Vellore J. Karthikeyan
Cardiology Department, Royal Albert Edward Infirmary, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, United Kingdom
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Abstract

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.

Keywords

Calcified coronary lesions - complication - coronary artery disease - intravascular lithotripsy - percutaneous coronary intervention - stent underexpansion - stents


Publication History

Article published online:
06 August 2021

© 2021. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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