Lithoplasty-Facilitated Proximal Cap Penetration of a Calcified Chronic Total Occlusion Coronary Lesion

Karim Elbasha; Gert Richardt; Rayyan Hemetsberger; Abdelhakim Allali

doi:10.1016/j.jaccas.2021.11.005

Lithoplasty-Facilitated Proximal Cap Penetration of a Calcified Chronic Total Occlusion Coronary Lesion

JACC Case Rep. 2022 Jan 5;4(1):44-48. doi: 10.1016/j.jaccas.2021.11.005.

Authors

Karim Elbasha^{1

2}, Gert Richardt¹, Rayyan Hemetsberger^{1

3}, Abdelhakim Allali¹

Affiliations

¹ Heart Centre, Segeberger Kliniken GmbH, Bad Segeberg, Germany.
² Cardiology Department, Faculty of Medicine Zagazig University, Egypt.
³ Department of Cardiology, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Germany.

Abstract

We present a case of calcified chronic total occlusion of the left anterior descending coronary artery with ambiguous cap at the bifurcation with a large diagonal branch, in which intravascular lithoplasty balloon was used to modify the calcified proximal cap and facilitate wire crossing. (Level of Difficulty: Advanced.).

Keywords: CTO, chronic total occlusion; IVL, intravascular lithoplasty; LAD, left anterior descending artery; coronary calcium; intravascular lithoplasty; intravascular ultrasound; percutaneous coronary intervention.

Publication types

Case Reports