TY - JOUR
T1 - Intravascular lithotripsy for stent under-expansion
T2 - Panacea or Pandora's box?
AU - Chugh, Yashasvi
AU - Brilakis, Emmanouil S.
N1 - Funding Information:
Dr. Chugh have no conflict of interest. Dr. Brilakis: consulting/speaker honoraria from Abbott Vascular, American Heart Association (associate editor Circulation), Amgen, Biotronik, Boston Scientific, Cardiovascular Innovations Foundation (Board of Directors), ControlRad, CSI, Ebix, Elsevier, GE Healthcare, InfraRedx, Medtronic, Siemens, and Teleflex; research support from Regeneron and Siemens; owner, Hippocrates LLC; shareholder: MHI Ventures.
Publisher Copyright:
© 2021 Wiley Periodicals LLC.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Balloon undilatable lesions are common and can be challenging to treat, especially within stents, and require a systematic, algorithmic approach. Stent under-expansion is usually treated with high-pressure balloon inflations, followed by plaque modification balloons, laser with contrast, orbital or rotational atherectomy, and subintimal crossing with coronary artery bypass graft being the ultimate solution is all techniques fail to expand the stent. Intravascular Lithotripsy (IVL) appears to be an easy to use and effective tool for treating stent under-expansion, but further study is needed to confirm its efficacy and (acute and long-term) safety.
AB - Balloon undilatable lesions are common and can be challenging to treat, especially within stents, and require a systematic, algorithmic approach. Stent under-expansion is usually treated with high-pressure balloon inflations, followed by plaque modification balloons, laser with contrast, orbital or rotational atherectomy, and subintimal crossing with coronary artery bypass graft being the ultimate solution is all techniques fail to expand the stent. Intravascular Lithotripsy (IVL) appears to be an easy to use and effective tool for treating stent under-expansion, but further study is needed to confirm its efficacy and (acute and long-term) safety.
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U2 - 10.1002/ccd.29441
DO - 10.1002/ccd.29441
M3 - Editorial
C2 - 33460264
AN - SCOPUS:85100003911
SN - 1522-1946
VL - 97
SP - 30
EP - 31
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 1
ER -