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Intravascular lithotripsy in coronary arteries: a review of case reports.
Umeh, Chukwuemeka A; Kaur, Harpreet; Paknoosh, Sean; Ganjian, Benjamin; Samreen, Isha; Rainee, Khabagnote; Cheng, Mindy; Rastogi, Anisha; Gupta, Rahul.
Afiliación
  • Umeh CA; Department of Internal Medicine, Hemet Global Medical Center, 1117 E. Devonshire Ave., Hemet, CA, 92543, USA. emmyumeh@yahoo.com.
  • Kaur H; St. George's University School of Medicine, West Indies, Grenada. emmyumeh@yahoo.com.
  • Paknoosh S; Department of Internal Medicine, Hemet Global Medical Center, 1117 E. Devonshire Ave., Hemet, CA, 92543, USA.
  • Ganjian B; Department of Internal Medicine, Hemet Global Medical Center, 1117 E. Devonshire Ave., Hemet, CA, 92543, USA.
  • Samreen I; Department of Internal Medicine, Hemet Global Medical Center, 1117 E. Devonshire Ave., Hemet, CA, 92543, USA.
  • Rainee K; Department of Internal Medicine, Hemet Global Medical Center, 1117 E. Devonshire Ave., Hemet, CA, 92543, USA.
  • Cheng M; St. George's University School of Medicine, West Indies, Grenada.
  • Rastogi A; Department of Emergency Medicine, Hemet Global Medical Center, Hemet, CA, USA.
  • Gupta R; Division of Cardiology, Hemet Global Medical Center, Hemet, CA, USA.
Egypt Heart J ; 76(1): 121, 2024 Sep 07.
Article en En | MEDLINE | ID: mdl-39243292
ABSTRACT

BACKGROUND:

Calcified coronary arteries encountered during percutaneous intervention increase the probability of unsuccessful procedures. Heavy calcification of coronary arteries may lead to suboptimal stent expansion. Intravascular lithotripsy (IVL) is a novel method of transmitting sonic waves in pulses, which fractures the calcific plaque in the vessel with minimal soft tissue injury. This study systematically reviews and summarizes the reported clinical scenarios in which IVL was successfully used in coronary lesions. MAIN TEXT Articles were obtained by searching PubMed and Embase databases for IVL use in coronary arteries. We restricted the search to case reports. Our study included 84 patients from 70 case reports/case series. The mean age was 70.3 years (SD 10) and ranged from 27 to 96 years, and 67% were males. The indications for the angiogram that led to the use of IVL include chest pain (37.7%), non-ST elevated myocardial infarction (27.9%), ST elevated myocardial infarction (13.1%), and previous under-expanded stent (8.2%). The IVL was used in the left anterior descending artery (60.7%), right coronary artery (35.7%), left main disease (23.8%), and left circumflex (9.5%). Coronary IVL was safely and successfully used in different clinical scenarios for heavily calcified coronary lesions, including in-stent restenosis of native coronary arteries, saphenous vein grafts, and under-expanded stents. In addition, IVL was successfully used synergistically with orbital and rotational atherectomy and drug-coated balloon angioplasty in select patients.

CONCLUSION:

IVL has successfully been used in an expanding array of clinical scenarios.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Egypt Heart J Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Egypt Heart J Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania