Intracoronary lithotripsy for calcific neoatherosclerotic in-stent restenosis : a case report
Tizón-Marcos, Helena (Institut Hospital del Mar d'Investigacions Mèdiques)
Rodríguez-Costoya, Iris (Institut Hospital del Mar d'Investigacions Mèdiques)
Tevar, Cristina (Institut Hospital del Mar d'Investigacions Mèdiques)
Vaquerizo, Beatriz (Institut Hospital del Mar d'Investigacions Mèdiques)

Date:	2020
Abstract:	In-stent restenosis is a difficult percutaneous scenario if calcific neoatherosclerosis is the underlying aetiology. A 69-year-old diabetic woman with a previous percutaneous coronary intervention on the left anterior descending coronary artery was readmitted for non-ST-elevation myocardial infarction. In-stent restenosis due to calcific neoatherosclerosis was observed by intracoronary imaging during the intervention. Intravascular lithotripsy was used successfully to fracture the underlying calcific plaque. However, the balloon ruptured during treatment although this did not damage the artery. Intravascular lithotripsy is a promising tool for the treatment of extremely calcified lesions including calcific neoatherosclerosis of in-stent restenosis. Balloon rupture is a complication of this new percutaneous treatment that has not previously been described.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Estudi clínic ; recerca ; Article ; Versió publicada
Subject:	Restenosis ; Plaque modification ; Intracoronary lithotripsy ; Drug-eluting stent ; Case report
Published in:	European heart journal. Case reports, Vol. 4 (june 2020) , p. 1-4, ISSN 2514-2119

DOI: 10.1093/ehjcr/ytaa117
PMID: 32974451

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