Intracoronary lithotripsy for calcific neoatherosclerotic in-stent restenosis: a case report

BACKGROUNDIn-stent restenosis is a difficult percutaneous scenario if calcific neoatherosclerosis is the underlying aetiology. CASE SUMMARYA 69-year-old diabetic woman with a previous percutaneous coronary intervention on the left anterior descending coronary artery was readmitted for non-ST-elevati...

Full description

Saved in:
Bibliographic Details
Published inEuropean heart journal. Case reports Vol. 4; no. 4; pp. 1 - 4
Main Authors Tizón-Marcos, Helena, Rodríguez-Costoya, Iris, Tevar, Cristina, Vaquerizo, Beatriz
Format Report
LanguageEnglish
Published 01.08.2020
Online AccessGet full text

Cover

More Information
Summary:BACKGROUNDIn-stent restenosis is a difficult percutaneous scenario if calcific neoatherosclerosis is the underlying aetiology. CASE SUMMARYA 69-year-old diabetic woman with a previous percutaneous coronary intervention on the left anterior descending coronary artery was readmitted for non-ST-elevation myocardial infarction. In-stent restenosis due to calcific neoatherosclerosis was observed by intracoronary imaging during the intervention. Intravascular lithotripsy was used successfully to fracture the underlying calcific plaque. However, the balloon ruptured during treatment although this did not damage the artery. DISCUSSIONIntravascular lithotripsy is a promising tool for the treatment of extremely calcified lesions including calcific neoatherosclerosis of in-stent restenosis. Balloon rupture is a complication of this new percutaneous treatment that has not previously been described.
Bibliography:ObjectType-Case Study-2
content type line 59
SourceType-Reports-1
ObjectType-Report-1
ISSN:2514-2119
DOI:10.1093/ehjcr/ytaa117