Intravascular Lithotripsy for Peripheral Artery Calcification

Tepe, Gunnar; Brodmann, Marianne; Werner, Martin; Bachinsky, William; Holden, Andrew; Zeller, Thomas; Mangalmurti, Sarang; Nolte-Ernsting, C.; Bertolet, Barry D.; Scheinert, Dierk; Gray, William A.

doi:10.1016/j.jcin.2021.04.010

Cited by 97 publications

(11 citation statements)

References 24 publications

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“…Compared to the PTA group, the IVL group had higher procedural success and balloon/stent expansion with significantly lower residual stenosis and flow-limiting dissection rates. 63 The midterm (2 year follow-up) results of the same study revealed that primary patency was significantly higher in IVL group (70.3% vs.…”

Section: Use Of Ivl To Treat Peripheral Stenosesmentioning

confidence: 84%

“…In this study, IVL or percutaneous transluminal angioplasty (PTA) was performed to prepare the lesions before drug‐coated balloon (DCB) or stenting. Compared to the PTA group, the IVL group had higher procedural success and balloon/stent expansion with significantly lower residual stenosis and flow‐limiting dissection rates 63 . The midterm (2 year follow‐up) results of the same study revealed that primary patency was significantly higher in IVL group (70.3% vs. 51.3%) 64 …”

Section: Use Of Ivl To Treat Peripheral Stenosesmentioning

confidence: 92%

See 1 more Smart Citation

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: Use Of Ivl To Treat Peripheral Stenosesmentioning

confidence: 84%

Section: Use Of Ivl To Treat Peripheral Stenosesmentioning

confidence: 92%

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

Gruslova,

Inanc,

Cilingiroglu

et al. 2023

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…In the clinical practice, IVL has been successfully employed in balloon angioplasty and plaque ablation and as an adjuvant to prevent post-procedure complications, such as accelerated restenosis, damage of the arterial wall, or catheter overstretching and rupture ( 36 – 39 ). In a trial by Tepe et al, the authors tested the efficiency of IVL on percutaneous transluminal angioplasty (PTA) in two cohorts of patients with femoropopliteal artery calcification ( 40 ). Data reported a greater success in the patient group who received IVL before PTA compared to the PTA-only group, thus confirming IVL as an effective vessel preparation method facilitating endovascular treatment ( 40 ).…”

Section: Use Of Shockwaves In Treatment Of Cardiovascular Diseasesmentioning

confidence: 99%

“…In a trial by Tepe et al, the authors tested the efficiency of IVL on percutaneous transluminal angioplasty (PTA) in two cohorts of patients with femoropopliteal artery calcification ( 40 ). Data reported a greater success in the patient group who received IVL before PTA compared to the PTA-only group, thus confirming IVL as an effective vessel preparation method facilitating endovascular treatment ( 40 ). In another trial, Hill and colleagues showed the safety and effectiveness of IVL to allow stent implantation in 431 patients with calcified coronary lesions ( 30 ).…”

Section: Use Of Shockwaves In Treatment Of Cardiovascular Diseasesmentioning

confidence: 99%

Shockwaves delivery for aortic valve therapy—Realistic perspective for clinical translation?

Curini

Pesce

2023

Front. Cardiovasc. Med.

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Calcific aortic valve disease (CAVD) is the most frequent valvular heart disorder, and the one with the highest impact and burden in the elderly population. While the quality and standardization of the current aortic valve replacements has reached unprecedented levels with the commercialization of minimally-invasive implants and the design of procedures for valve repair, the need of supplementary therapies able to block or retard the course of the pathology before patients need the intervention is still awaited. In this contribution, we will discuss the emerging opportunity to set up devices to mechanically rupture the calcium deposits accumulating in the aortic valve and restore, at least in part, the pliability and the mechanical function of the calcified leaflets. Starting from the evidences gained by mechanical decalcification of coronary arteries in interventional cardiology procedures, a practice already in the clinical setting, we will discuss the advantages and the potential drawbacks of valve lithotripsy devices and their potential applicability in the clinical scenario.

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“…5 IVL has specifically been shown to be effective in the iliac artery, common femoral artery, femoropopliteal, and infrapopliteal arteries. 6 The utility of IVL has now expanded from peripheral artery calcification to CAC.…”

Section: Intravascular Lithotripsymentioning

confidence: 99%

Coronary Intravascular Lithotripsy

Sreenivasan

Shah

Riangwiwat

et al. 2022

Cardiology in Review

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Coronary artery calcification is strongly associated with adverse cardiac events and can impede the success of percutaneous coronary intervention (PCI) due to challenges with delivery of equipment and expansion of stents. Current treatment modalities for mitigation of coronary calcification have limitations and inherent risk of complications. Coronary intravascular lithotripsy (IVL) is a novel technique to modify coronary artery calcification via acoustic pressure waves. IVL utilizes an easy-to-use device, which does not require a steep learning curve. Prospective studies have shown this technique to be safe and effective and can be used to adequately modify calcified coronary stenoses in preparation for PCI and stent deployment and optimization. IVL has unique features that can be used alone or as an adjunctive therapy to other available calcium modification tools. As compared to the currently established modalities of calcium modification, IVL has the potential to facilitate successful PCI with fewer serious procedural complications. In this review article, we discuss the importance of coronary artery calcification, the role of IVL, its mechanism, the current clinical data behind its use and future directions. Overall, coronary IVL is a promising technology for the treatment of severely calcified coronary stenoses, with a need for, long-term clinical outcome data of IVL-facilitated PCI.

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Intravascular Lithotripsy for Peripheral Artery Calcification

Cited by 97 publications

References 24 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

Shockwaves delivery for aortic valve therapy—Realistic perspective for clinical translation?

Coronary Intravascular Lithotripsy

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