Yousif Nooraldaem, Bardooli Fawaz, Shivappa Sadananda, Noor Husam A
Department of Cardiology, Mohammed Bin Khalifa Cardiac Centre (MKCC), Riffa, Kingdom of Bahrain.
Eur Heart J Case Rep. 2021 Jan 15;5(1):ytaa568. doi: 10.1093/ehjcr/ytaa568. eCollection 2021 Jan.
Calcified lesions represent a hard obstacle to overcome in renal arteries, particularly when renal angioplasty represents the only feasible course of action in the setting of high-risk bilateral renal artery stenosis (RAS) with refractory systemic hypertension and recurrent flash pulmonary oedema.
We herein report a case of symptomatic bilateral severely calcified RAS, treated successfully with intravascular ultrasound (IVUS)-guided coronary and peripheral intravascular shockwave lithotripsy systems and stenting.
Intravascular shockwave lithotripsy is an attractive modality for the treatment of challenging, heavily calcified renal arteries that combines the calcium-disrupting capability of lithotripsy with the familiarity of balloon catheters to facilitate proper stent deployment.
钙化病变是肾动脉中难以克服的障碍，尤其是在肾血管成形术是高危双侧肾动脉狭窄（RAS）伴难治性系统性高血压和复发性急性肺水肿情况下唯一可行的治疗方案时。
我们在此报告一例有症状的双侧严重钙化RAS病例，通过血管内超声（IVUS）引导下的冠状动脉和外周血管冲击波碎石系统及支架置入术成功治疗。
血管内冲击波碎石术是治疗具有挑战性的严重钙化肾动脉的一种有吸引力的方式，它将碎石术破坏钙的能力与球囊导管的易用性相结合，以利于正确置入支架。
