Intravascular Lithotripsy Facilitated Cardiovascular Interventions

Butt, Nausharwan; Arshid, Awais; Javed, Hasan; Kayani, Waleed Tallat; Ahmad, Sarah Aftab; Khalid, Nauman

doi:10.1177/0003319720956484

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…IVL is a novel technique which circumferentially modifies calcified lesions by disruption (microfracture) of superficial and deep calcium 4 to allow for effective delivery and placement of intravascular stents. This technique has been successfully used in coronary, abdominal and peripheral artery interventions.…”

Section: Discussionmentioning

confidence: 99%

“…This creates rapidly expanding and subsequently collapsing bubbles in a closed system which generate pulsatile sonic pressure waves that deliver mechanical energy to the surrounding tissue. 4 The energy is most efficiently transferred the closer the balloon is to the vessel wall. The 4 cm balloon catheter is available in diameters between 2.5 mm to 4 mm and the 6 cm catheter between 3.5 mm to 7 mm.…”

Section: Carotid Lesion Characteristicsmentioning

confidence: 99%

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Intravascular lithotripsy for severely calcified carotid artery stenosis - A new frontier in carotid artery stenting?

et al. 2022

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Carotid stenosis due to severely calcified plaque can pose a significant therapeutic challenge. Extremely calcified scars/stenosis plaques can be challenging from an endovascular treatment perspective as severely calcified lesions are prone to technical failure, stent re-coil and restenosis. Intravascular lithotripsy, approved for treatment of severely calcified coronary lesions, can be used for breaking up the calcium build up in the intimal and medial layers of the vessel wall prior to stenting. This was designated as a breakthrough device innovation by the Food and Drug Administration. This new technique addresses the challenge of the disease without compromising patient safety during the procedure. We here report procedural set-up, execution and early patient follow up from our first use of this emerging technology in a neurointerventional practice setting.

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Section: Discussionmentioning

confidence: 99%

Section: Carotid Lesion Characteristicsmentioning

confidence: 99%

Intravascular lithotripsy for severely calcified carotid artery stenosis - A new frontier in carotid artery stenting?

et al. 2022

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“…We recently demonstrated IVL-facilitated endovascular interventions of the aortic arch; 2 of the patients in our study underwent carotid interventions. 2,3 One patient developed acute transient unilateral vision loss following IVL treatment in the internal carotid artery, despite the use of the distal EPD, Emboshield (Abbott Vascular, Santa Clara, CA, USA). This was felt to be secondary to IVL balloon withdrawal and release and subsequent downstream embolization of embolic debris to the ophthalmic artery.…”

mentioning

confidence: 99%

Intravascular Lithotripsy–Facilitated Carotid Interventions

et al. 2021

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“…We thank Butt et al for their interest 1 in our recently published article on Shockwave intravascular lithotripsy (IVL) for the treatment of severe vascular calcification. 2 Heavily calcified coronary and peripheral artery lesions hamper percutaneous revascularization and impact interventional outcomes by impairing device crossing, impairing stent apposition and expansion, and disrupting drug and polymer release kinetics.…”

mentioning

confidence: 99%

“…We thank Butt et al for their interest 1 in our recently published article on Shockwave intravascular lithotripsy (IVL) for the treatment of severe vascular calcification. 2…”

mentioning

confidence: 99%