Coronary Artery Perforation After Shockwave Intravascular Lithotripsy

Şimşek, Cihan; Vos, Jeroen; Ijsselmuiden, Alexander; Meuwissen, Martijn; Branden, Ben Van den; Heijer, Peter den; Schölzel, Bastiaan E.

doi:10.1016/j.jaccas.2019.10.045

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…They reported a mean number of pulses per lithotripsy run was 33 ± 32, with a success rate of 90.1%, and two (2.4%) IVL‐related perforations 12 . Simsek et al 11 reported a case of coronary perforation after 40 intracoronary IVL pulses were delivered in a freshly implanted under‐expanded stent.…”

Section: Safety Of Ivlmentioning

confidence: 99%

“…10 Although no complications were observed in the DISRUPT studies, perforations have been reported in some studies and case reports. 11,12 In the PROGRESS-CTO study, Kostantinis et al investigated the clinical safety of IVL use in CTO lesions. They reported a mean number of pulses per lithotripsy run was 33 ± 32, with a success rate of 90.1%, and two (2.4%) IVL-related perforations.…”

Section: Safety Of Ivl 21 | Short-term Complicationsmentioning

confidence: 99%

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Review of intravascular lithotripsy for treating coronary, peripheral artery, and valve calcifications

Gruslova,

Inanc,

Cilingiroglu

et al. 2023

Cathet Cardio Intervent

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Management of intracoronary calcium (ICC) continues to be a challenge for interventional cardiologists. There have been significant advances in calcium treatment devices. However, there still exists a knowledge gap regarding which devices to choose for the treatment of ICC. The purpose of this manuscript is to review the principles of intravascular lithotripsy (IVL) and clinical data. The technique of IVL will then be compared to alternative calcium treatment devices. Clinical data will be reviewed concerning the treatment of coronary, peripheral artery and valvular calcifications. Controversies to be discussed include how to incorporate IVL into your practice, what is the best approach for treating calcium subtypes, how to approach under‐expanded stents, what is the ideal technique for performing IVL, how safe is IVL, whether imaging adds value when performing IVL, and how IVL fits into a treatment program for peripheral arteries and calcified valves.

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Section: Safety Of Ivlmentioning

confidence: 99%

Section: Safety Of Ivl 21 | Short-term Complicationsmentioning

confidence: 99%

Review of intravascular lithotripsy for treating coronary, peripheral artery, and valve calcifications

Gruslova,

Inanc,

Cilingiroglu

et al. 2023

Cathet Cardio Intervent

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“…64,65 Recently there is a case report of perforation following this therapy. 66 Furthermore, vessels with a diameter >4mm (maximum shockwave balloon size), or important plaque eccentricity, preclude appropriate IVL balloon apposition to the vessel wall, and may reduce the efficacy of the therapy. The Disrupt-CAD (Disrupt Coronary Artery Disease) trial, a prospective multicenter, single-arm study enrolling 60 patients with heavy CAC,treated with shockwave IVL, reported 98% device success, 100% stent delivery, low MACE rate, high acute gain and no cases of dissection, perforation, abrupt closure, or no-flow or slowflow phenomena.…”

Section: Intravascular Lithotripsymentioning

confidence: 99%

Contemporary treatment options for surmounting the conundrum of calcified coronaries

Dash¹,

Ahmed²,

Rohit³

2020

J Transcat Intervent

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Since the advent of balloon angioplasty in 1977, countless tools and techniques have been introduced and broadened the application of percutaneous coronary intervention in unprecedented anatomic settings. Heavily calcified coronary lesions traditionally continue to pose a challenge for percutaneous coronary intervention, since they are difficult to dilate adequately and/or there is inability to deliver and deploy drug eluting stents appropriately. Poor stent deployment is associated with increased procedural complications and suboptimal long-term outcomes. Thanks to the introduction of dedicated percutaneous coronary intervention tools, like cutting-and scoring balloons, atherectomy devices, and the novel intravascular lithotripsy technology, the treatment of such lesions has become increasingly feasible, safe and predictable. In this focused review, the author provides a summary of the principles, technique and contemporary evidence for various plaque modification strategies, with main objective of optimizing drug eluting stents delivery and deployment, translating into improved patient outcome.

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“…39 There are anecdotal reports of coronary perforation with the use of IVL. 40,41 IVL is to be used with caution in critical lesions and in very tortuous vessels. In vessel size > 4 mm or eccentric calcium plaques which prevent appropriate IVL balloon apposition to vessel wall, the success of IVL decreases and other options need to be explored.…”

Section: Intravascular Lithotripsy (Ivl)mentioning

confidence: 99%

New Modalities of Treatment for Coronary Calcific Lesions

Padmanabhan

Azam

2020

IJCDW

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Since the publication of the previous article on the same topic in the journal, as a result of the better understanding in intravascular imaging (intravascular ultrasound [IVUS] and optical coherence tomography [OCT]) and introduction of intravascular lithotripsy (IVL) into clinical practice, the outcomes in patients with calcified coronary lesions have become more predictable and safe with lesser complication rates.

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Coronary Artery Perforation After Shockwave Intravascular Lithotripsy

Cited by 8 publications

References 3 publications

Review of intravascular lithotripsy for treating coronary, peripheral artery, and valve calcifications

Review of intravascular lithotripsy for treating coronary, peripheral artery, and valve calcifications

Contemporary treatment options for surmounting the conundrum of calcified coronaries

New Modalities of Treatment for Coronary Calcific Lesions

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