Interventional Cardiology Division, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy.
Interventional Cardiology Division, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy.
Can J Cardiol. 2019 Jul;35(7):940.e5-940.e7. doi: 10.1016/j.cjca.2019.04.017. Epub 2019 Apr 25.
Intravascular lithotripsy (IVL) is emerging as a novel, effective, easy-to-perform, and safe therapy for plaque modification in calcified lesions. So far, data on its use and outcomes mostly derives from stable patients with moderate angiographic complexity. Here we report on a case in which IVL was performed in the context of a high-risk intervention involving calcified lesions of the left main bifurcation and proximal left anterior descending, which required mechanical support with a percutaneous left ventricular assist device. This guaranteed hemodynamic stability and optimal lesion preparation, which allowed achieving a good angiographic result and clinical outcome.
血管内碎石术（IVL）作为一种新颖、有效、易于操作且安全的斑块修饰疗法，正在钙化病变中崭露头角。到目前为止，关于其使用和结果的数据主要来源于中重度血管造影复杂性的稳定患者。在此，我们报告了一个病例，在该病例中，左主干分叉和左前降支近端的钙化病变需要经皮左心室辅助装置进行机械支持，在此背景下进行了 IVL 治疗。这保证了血流动力学的稳定性和最佳的病变准备，从而实现了良好的血管造影结果和临床结局。
