Orbital-Tripsy: Novel Combination of Orbital-Atherectomy and Intravascular-Lithotripsy, in Calcified Coronaries After Failed Intravascular-Lithotripsy

Calcified coronary lesions are notorious for posing technical difficulty during angioplasty. Fortunately, more devices are available to tackle coronary calcifications. However, there remain difficult cases whereby a single modality is insufficient. Here we report the feasibility and success of a cas...

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Published inJACC. Case reports Vol. 2; no. 15; pp. 2437 - 2444
Main Authors Chiang, Chi Shing Michael, Alan Chan, Ka Chun, Lee, Michael, Chan, Kam Tim
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.12.2020
Elsevier
Subjects
coronary angiography
coronary calcium score
imaging
Mini-Focus Issue: Interventions
myocardial ischemia
percutaneous coronary intervention
LM
OCT
MLA
TVD
coronary calcium score
imaging
RA
RCA
percutaneous coronary intervention
OA
PCI
myocardial ischemia
CABG
coronary angiography
IVL
MLA, minimal luminal area
TVD, triple vessel disease
PCI, percutaneous coronary intervention
OCT, optical coherence tomography
RCA, right coronary artery
IVL, intravascular lithotripsy
CABG, coronary artery bypass grafting
OA, orbital atherectomy
LM, left main
RA, rotational atherectomy
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Summary:Calcified coronary lesions are notorious for posing technical difficulty during angioplasty. Fortunately, more devices are available to tackle coronary calcifications. However, there remain difficult cases whereby a single modality is insufficient. Here we report the feasibility and success of a case, using Novo combination of Shockwave Lithotripsy after Orbital Atherectomy. (Level of Difficulty: Intermediate.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.10.027