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Guidewire Entry Into a Calcific Fracture Causing Stent Underexpansion: A Pitfall of Intravascular Lithotripsy
Marohito Nakata1, Tatsuya Tabata1, Toshiya Chinen1
1Department of Cardiology, Urasoe General Hospital, Urasoe, Okinawa, Japan.
Intravascular lithotripsy (IVL) can create deep calcium fractures. However, these fractures may lead to guidewire misplacement and focal stent underexpansion after percutaneous coronary intervention.
Area of Science:
- Cardiovascular intervention
- Medical device technology
Background:
- Intravascular lithotripsy (IVL) uses acoustic waves to fracture arterial calcium, enhancing lesion compliance and improving stent expansion.
- IVL-induced fractures are known to facilitate larger stent areas compared to non-fractured segments.
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