Use of Lithotripsy in a Calcified Saphenous Vein Graft

Menno van Gameren; Jeroen Vos; Alexander J J IJsselmuiden; Ben J L Van den Branden; Martijn Meuwissen; Peter den Heijer; Bastiaan E Schölzel

doi:10.1016/j.jaccas.2020.07.029

Use of Lithotripsy in a Calcified Saphenous Vein Graft

JACC Case Rep. 2020 Sep 23;2(12):1891-1894. doi: 10.1016/j.jaccas.2020.07.029. eCollection 2020 Oct.

Authors

Menno van Gameren¹, Jeroen Vos¹, Alexander J J IJsselmuiden¹, Ben J L Van den Branden¹, Martijn Meuwissen¹, Peter den Heijer¹, Bastiaan E Schölzel¹

Affiliation

¹ Amphia Hospital, Breda, the Netherlands.

Abstract

Percutaneous coronary interventions in saphenous vein grafts can pose a variety of challenges, such as severely calcified lesions. If these lesions are nondilatable, lithotripsy can arguably be a proper tool for lesion preparation. We present a case in which a nondilatable, calcified saphenous vein graft was successfully treated using Shockwave lithotripsy. (Level of Difficulty: Intermediate.).

Keywords: DES, drug-eluting stent(s); LIMA, left internal mammary artery; NC, noncompliant; PCI, percutaneous coronary intervention; SVG, saphenous vein graft; coronary artery bypass; percutaneous coronary intervention; stenosis; stents.

Publication types

Case Reports