Structural Interventional Cardiology, Cardio-Toraco-Vascular Department, Careggi University Hospital, Florence, Italy.
Structural Interventional Cardiology, Cardio-Toraco-Vascular Department, Careggi University Hospital, Florence, Italy.
Cardiovasc Revasc Med. 2020 Nov;21(11S):143-146. doi: 10.1016/j.carrev.2019.06.014. Epub 2019 Jun 28.
Coronary and peripheral calcifications are associated with increased procedural complexity and suboptimal results in both coronary and peripheral percutaneous interventions. Intravascular lithotripsy (IVL) has recently entered the clinical scenario as a new technology for plaque modification, with promising results. We present a case of high risk left main (LM) percutaneous coronary intervention (PCI), in which peripheral Shockwave IVL was used to facilitate the delivery of an Impella CP via a 14 F sheath and coronary IVL was used to prepare a very calcific left main bifurcation lesion before stent deployment.
冠状动脉和外周血管钙化与经皮冠状动脉介入治疗和经皮外周血管介入治疗的手术复杂性增加和治疗效果欠佳相关。血管内碎石术（IVL）最近作为一种斑块修饰的新技术进入临床应用，其结果令人鼓舞。我们报告了一例高危左主干（LM）经皮冠状动脉介入治疗（PCI）病例，其中在外周血管中使用 Shockwave IVL 以辅助通过 14F 鞘管输送 Impella CP，在支架置入前，对非常钙化的左主干分叉病变进行冠状动脉 IVL 预处理。
