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[Acute coronary lithotripsy in an 83-year-old man with syncope and acute coronary syndrome]

S Gozolits1, U Biller2, M Morgenstern2

  • 1Medizinische Klinik I, Klinik für Kardiologie, RoMed Klinikum Rosenheim, Akademisches Lehrkrankenhaus der Ludwig-Maximilians-Universität München, Pettenkoferstr. 10, 83022, Rosenheim, Deutschland. stefan.gozolits@ro-med.de.

Der Internist
|February 17, 2021
PubMed

Insights

Intravascular lithotripsy effectively treated severe left main coronary artery stenosis in a patient with acute coronary syndrome. This innovative technique offers a promising option for complex calcified lesions.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Imaging
  • Vascular Medicine

Background:

  • An 83-year-old male presented with syncope and acute coronary syndrome.
  • Electrocardiogram (ECG) suggested left main (LM) coronary artery stenosis.
  • Angiography confirmed heavily calcified tight LM stenosis.

Observation:

  • Percutaneous coronary intervention was performed.
  • Intravascular lithotripsy was utilized for lesion preparation.
  • Drug-eluting stents were implanted following lithotripsy.

Findings:

  • Excellent angiographic result achieved post-intervention.
  • Resolution of patient's symptoms.
  • Improvement in ECG changes observed.

Implications:

  • Intravascular lithotripsy is a novel and accessible method for treating heavily calcified coronary lesions.
  • Further research on cost-effectiveness and long-term outcomes is necessary to establish its definitive role in clinical practice.
Abstract

Keywords:
BifurcationCoronary stenosis, left mainLithotripsy, intravascularRotational atherectomyVascular calcification

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