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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
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Coronary Artery Perforation After Shockwave Intravascular Lithotripsy
Cihan Simsek1, Jeroen Vos1, Alexander IJsselmuiden1
1Department of Cardiology, Amphia Ziekenhuis, Breda, the Netherlands.
JACC. Case Reports
|July 28, 2021
Summary
Severely calcified coronary lesions pose challenges for percutaneous coronary interventions. This case highlights a rare coronary artery perforation complication following Shockwave intravascular lithotripsy, an alternative to rotational atherectomy.
Area of Science:
- Cardiovascular medicine
- Interventional cardiology
- Medical device technology
Background:
- Percutaneous coronary interventions (PCI) face challenges with severely calcified lesions.
- Rotational atherectomy is a traditional treatment, but Shockwave intravascular lithotripsy offers an alternative.
- Shockwave intravascular lithotripsy aims to improve stent deliverability and outcomes in calcified lesions.
Observation:
- A case involving a patient with severely calcified coronary lesions is presented.
- The patient underwent treatment using the Shockwave intravascular lithotripsy device.
- A rare complication of coronary artery perforation occurred post-procedure.
Findings:
- The use of Shockwave intravascular lithotripsy, while beneficial for stent delivery in calcified lesions, can be associated with complications.
- Coronary artery perforation is a potential, albeit uncommon, adverse event.
- This case underscores the importance of recognizing and managing such complications.
Implications:
- Understanding the risks associated with novel devices like Shockwave intravascular lithotripsy is crucial for interventional cardiologists.
- Careful patient selection and procedural technique may mitigate risks.
- Further research into managing complications after intravascular lithotripsy is warranted.
Keywords:
CTO, chronic total occlusionLAD, left anterior descendingPCI, percutaneous coronary interventionS-IVL, Shockwave intravascular lithotripsycalcified lesionscoronary artery perforationintravascular lithotripsypercutaneous coronary interventionMore Related Videos
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