Treatment of Heavily Calcified Unprotected Left Main Disease With Lithotripsy: The First Case Series

Bernard Wong1, Seif El-Jack, Ali Khan

  • 1North Shore Hospital, 124 Shakespeare Road, Takapuna, Auckland 0620, New Zealand. bernardwong@hotmail.co.nz.

Insights

This study introduces Shockwave Intravascular Lithotripsy (S-IVL) for treating complex left main coronary artery disease. S-IVL offers a new percutaneous option for heavily calcified lesions where surgery is not feasible.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Devices

Background:

  • Unprotected left main coronary artery disease (LM-CAD) poses significant revascularization challenges.
  • Treatment decisions for LM-CAD involve balancing anatomical complexity and surgical risk.
  • Heavily calcified LM-CAD often complicates percutaneous coronary intervention (PCI).

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