Successful Intravascular Lithotripsy Use for Acute Stent Underexpansion in Saphenous Vein Grafts.
coronary angiography
coronary artery bypass
percutaneous coronary intervention
Journal
Journal of the Society for Cardiovascular Angiography & Interventions
ISSN: 2772-9303
Titre abrégé: J Soc Cardiovasc Angiogr Interv
Pays: United States
ID NLM: 9918419271306676
Informations de publication
Date de publication:
Feb 2024
Feb 2024
Historique:
received:
19
08
2023
revised:
31
10
2023
accepted:
08
11
2023
medline:
12
8
2024
pubmed:
12
8
2024
entrez:
12
8
2024
Statut:
epublish
Résumé
Experience with intravascular lithotripsy (IVL) following stent deployment in saphenous vein graft (SVG) lesions is limited. We present 2 cases of percutaneous intervention in SVG in which acute stent underexpansion was successfully managed with IVL. In the first case, recalcitrant plaque required prestent deployment IVL, with intracoronary imaging showing persistent calcification. Additional poststent deployment IVL facilitated full expansion and successful stent delivery. In the second case, predilation with semicompliant balloons appeared angiographically effective, but stent deployment showed acute underexpansion. Postdilation with noncompliant balloons and ultimately IVL allowed full expansion and successful stent delivery. These are the first reported cases of IVL use immediately after stent deployment in SVG to treat underexpansion due to recalcitrant calcification.
Identifiants
pubmed: 39132212
doi: 10.1016/j.jscai.2023.101248
pii: S2772-9303(23)01308-X
pmc: PMC11307931
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
101248Informations de copyright
© 2023 The Author(s).