Intracoronary Lithotripsy: A New Solution for Undilatable In-Stent Chronic Total Occlusions

Judit Karacsonyi, Ilias Nikolakopoulos, Evangelia Vemmou, Bavana V. Rangan, Emmanouil S. Brilakis

Research output: Contribution to journalArticlepeer-review

Abstract

Percutaneous coronary intervention was performed in a flush in-stent right coronary artery chronic total occlusion. Successful retrograde recanalization was performed but the lesion was balloon undilatable as confirmed by intravascular ultrasound. High-pressure post-dilation with noncompliant and plaque modification balloons failed, but intravascular lithotripsy successfully expanded the lesion. (Level of Difficulty: Advanced.)

Original languageEnglish (US)
Pages (from-to)780-785
Number of pages6
JournalJACC: Case Reports
Volume3
Issue number5
DOIs
StatePublished - May 2021
Externally publishedYes

Keywords

  • chronic total occlusion
  • lithotripsy
  • percutaneous coronary intervention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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