Coburg Clinic, Department of Cardiology, Angiology & Pulmonology, Coburg, Germany.
Future Cardiol. 2020 Sep;16(5):419-423. doi: 10.2217/fca-2019-0051. Epub 2020 Mar 31.
The use of shockwave lithotripsy for the treatment of heavily calcified atherosclerotic plaques before stenting showed great results in terms of feasibility and safety with favorable initial success. Evidence suggests that it is a useful tool to treat calcified lesions in peripheral and coronary arteries. Here, we describe the case of a patient with calcified renal artery stenosis successfully treated with the shockwave lithotripsy system. We present a 76-year-old man with a known significant atherosclerotic renal artery stenosis and refractory hypertension. The patient received an angioplasty of the right renal artery in the first session and he was admitted for a second session to intervene in the left renal artery. The lesion was successfully treated with the lithotripsy system. Final angiography demonstrated an excellent position of the stent and good wall apposition. Our clinical case demonstrates that lithotripsy is safe and effective also for the treatment of the renal artery.
冲击波碎石术在支架置入术前治疗重度钙化粥样硬化斑块方面具有良好的可行性和安全性，初始成功率较高。有证据表明，它是一种治疗外周和冠状动脉钙化病变的有用工具。在此，我们描述了一例使用冲击波碎石系统成功治疗钙化性肾动脉狭窄的患者。我们介绍了一位 76 岁的男性，患有已知的严重粥样硬化性肾动脉狭窄和难治性高血压。该患者在第一次就诊时接受了右肾动脉的血管成形术，随后因左肾动脉介入治疗而住院。该病变通过碎石系统成功治疗。最终的血管造影显示支架位置良好，贴壁良好。我们的临床病例表明，碎石术治疗肾动脉也是安全有效的。
