Muhammad Saleem Akhtar, Bethan Freestone.
Intravascular Lithotripsy for Treatment of Severely Calcified Coronary Artery Disease in Acute Coronary Syndrome.
J Cardiovascular Dis Jan ;17(3):158-61.

Percutaneous Coronary Intervention (PCI) in markedly calcified vessels is a challenge for Cardiologists involved in doing intervention of calcified arteries. Shockwave intravascular lithotripsy, a new device for modification of calcified plaque, may be used in such lesions. This case report is regarding a patient with NSTEMI and heavily calcified left anterior descending artery as culprit vessel. This calcified lesion could not be dilated with semi-compliant or noncompliant balloons at high pressures. Therefore, it was decided to use a newer modality like shockwave intra vascular lithotripsy balloon followed by stenting with drug-eluting stents and post-dilatation with non-compliant high pressure balloon. the final angiographic result was adequate which was confirmed with IVUS.

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