Cracking the Plaque With Coronary Lithotripsy: Mechanistic Insights From Optical Coherence Tomography

J Invasive Cardiol. 2020 Jan;32(1):E14. doi: 10.25270/jic/20.3201.E14.

Abstract

Coronary lithoplasty is a promising technique that can overcome issues regarding the treatment of undilatable, heavily calcified, de novo, and in-stent restenotic lesions, allowing plaque modification and successful stent deployment, as demonstrated by intravascular imaging.

Keywords: coronary lithoplasty; optical coherence tomography; undilatable lesion.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon, Coronary* / instrumentation
  • Angioplasty, Balloon, Coronary* / methods
  • Coronary Angiography / methods
  • Coronary Artery Disease / surgery*
  • Coronary Restenosis* / diagnostic imaging
  • Coronary Restenosis* / surgery
  • Coronary Vessels* / diagnostic imaging
  • Coronary Vessels* / pathology
  • Coronary Vessels* / surgery
  • Drug-Eluting Stents
  • Humans
  • Lithotripsy* / instrumentation
  • Lithotripsy* / methods
  • Male
  • Reoperation / methods
  • Stents / adverse effects
  • Tomography, Optical Coherence / methods
  • Vascular Calcification* / diagnosis
  • Vascular Calcification* / surgery