Bail-out therapy in ST-segment elevation myocardial infarction due to calcified lesion causing stent underexpansion: Intravascular lithotripsy is in the lead

Baudinet, Thomas; Séguy, B; Cetran, Laura; Luttoo, Muhammad Khaled; Coste, Pierre; Gerbaud, Édouard

doi:10.1016/j.jccase.2020.12.014

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…Although we did not observe the rota-lithotripsy-related periprocedural complications, the safety concerns are not unfounded. On one hand, it has been proven that RA can increase the number of periprocedural perforations and thrombotic events [18], but on the other hand, some data suggest that S-IVL can induce ventricular arrhythmias and cause perforation of treated arteries [7][8][9]16]. Particularly sensitive is the matter of antiplatelet therapy.…”

Section: Discussionmentioning

confidence: 99%

“…This plaque modifying method has been shown to be safe and effective mainly in stable CAD [7,8]. Nevertheless, the amount of data on ACS is limited [7][8][9]. So far, there is very little data on its utility in subjects undergoing primary PCI in the course of acute coronary syndrome (ACS).…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, the use of more conservative strategies, particularly in cases with a large area of active ischemia, may significantly worsen both the short- and long-term outcomes. Recently, a case series regarding the successful use of shock-wave intravascular lithotripsy (S-IVL) in subjects with STEMI was published [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience

Włodarczak¹,

Rola

Barycki

et al. 2021

JCM

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Heavy calcification remains one of the greatest challenges in the treatment of coronary artery disease (CAD), especially in subjects with an acute coronary syndrome (ACS). In the present case series study of high-risk patients with ACS, including both STEMI and NSTEMI, we performed a rota-lithotripsy—a combination of rotational atherectomy with subsequent intravascular lithotripsy—as a novel bail-out strategy to facilitate stent delivery in a tortuous calcified coronary artery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience

Włodarczak¹,

Rola

Barycki

et al. 2021

JCM

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“…[ 9 ] One case report of OPN NC ballooning attempt for severe stent under-expansion is available, but application of super high pressures as a therapy alone was not successful, probably due to a lack of modification of the surrounding calcified, fibrotic tissue ( Table 1 ). [ 10 ]…”

Section: Plaque and Calcification Modifying Techniques And Toolsmentioning

confidence: 99%

Combination of Laser Atherectomy and Super High-pressure Non-compliant Balloon to Treat Stent Under-expansion in Cases of Failed Interventional Options

et al. 2023

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Patients with calcified, fibrotic native coronary vessels with prior suboptimal stenting outcomes are at major risk of stent thrombosis and could face serious consequences if untreated. In cases of multiple layers of under-expanded stents, the risk is multiplied. If conventional balloon post-dilatation is unsuccessful after stent implantation without proper lesion preparation, few interventional options remain. The authors report on a patient with prior numerous right coronary unsuccessful coronary interventions resulting in partially crushed multiple layers of stent material with critical lumen narrowing caused by stent under-expansion. Balloon angioplasty and stent rotational atherectomy (ROTA) had been attempted to overcome stent under-expansion but were unsuccessful. The authors investigated a new combination therapy of laser atherectomy (ELCA) and super high-pressure balloon (OPN non-compliant balloon) to treat single or multiple layers of stent with severe under-expansion due to fibrotic, calcified tissue surrounding the under-expanded stent structure.

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Lifetime management of severely calcified coronary lesions: the treatment algorithm focused on the shape of calcification

Sakakura,

Jinnouchi,

Taniguchi

et al. 2023

Cardiovasc Interv and Ther

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Bail-out therapy in ST-segment elevation myocardial infarction due to calcified lesion causing stent underexpansion: Intravascular lithotripsy is in the lead

Cited by 3 publications

References 9 publications

Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience

Rota-Lithotripsy—A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience

Combination of Laser Atherectomy and Super High-pressure Non-compliant Balloon to Treat Stent Under-expansion in Cases of Failed Interventional Options

Lifetime management of severely calcified coronary lesions: the treatment algorithm focused on the shape of calcification

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