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Use of Shockwave Lithoplasty for a Patient With Recurrent Angina

Sabah Siddiqui1, Sergey Ayzenberg1, Ahmad Morshed1

  • 1Cardiology, Maimonides Medical Center, Brooklyn, USA.

Cureus
|June 14, 2021
PubMed

Insights

Shockwave intravascular lithoplasty (S-IVL) effectively treats severe coronary artery calcification, offering a promising alternative to current methods. This technique modifies plaque with reduced risk of vascular trauma, improving patient outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Devices

Background:

  • Current treatments for intimal calcium burden have limited success and carry risks.
  • Severe calcification and in-stent restenosis pose challenges in coronary artery disease management.

Observation:

  • A 59-year-old male with coronary artery disease presented with angina and severe in-stent restenosis in the mid-right coronary artery.
  • The restenosis was characterized by under-expansion and severe calcification, necessitating plaque modification.

Findings:

  • Shockwave intravascular lithoplasty (S-IVL) was employed to reduce the calcium burden in the severely calcified coronary lesion.
  • S-IVL demonstrated effectiveness in plaque modification for this complex case.

Implications:

  • S-IVL presents a promising technique for treating severely calcified coronary lesions.
  • This approach may offer reduced risks of myocardial injury and mechanical vascular trauma compared to existing therapies.
  • Tailoring treatment to individual patient and lesion characteristics is crucial for optimal results.

Keywords:
anginacoronary calcium lesionsifrin-stent restenosislithoplasty

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