Rotational atherectomy and intravascular lithotripsy: two methods versus a single lesion

Włodarczak, Adrian; Kulczycki, Jan Jakub; Furtan, Łukasz; Rola, Piotr; Barycki, Mateusz; Łanocha, Magdalena; Szudrowicz, Marek; Lesiak, Maciej

doi:10.33963/kp.15962

Cited by 7 publications

(8 citation statements)

References 1 publication

(1 reference statement)

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“…Rota-lithotripsy is a novel bail-out strategy used for resistant lesions. Only a few case reports [9][10][11] regarding this method are available. A high rate of clinical success was maintained despite the relatively high prevalence of patients with under-expansion of previously implanted stents in our registry (25.0% vs. 21.7%) [7].…”

Section: Resultsmentioning

confidence: 99%

Feasibility of the intravascular lithotripsy in coronary artery disease. Short-term outcomes of the Lower-Silesia Shockwave Registry

Rola

Włodarczak²,

Kulczycki³

et al. 2021

Kardiol Pol

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Section: Resultsmentioning

confidence: 99%

Feasibility of the intravascular lithotripsy in coronary artery disease. Short-term outcomes of the Lower-Silesia Shockwave Registry

Rola

Włodarczak²,

Kulczycki³

et al. 2021

Kardiol Pol

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“…As a second line, they suggest using an atherectomy device (rotational, orbital, or laser). In case of failure, the use of the S-IVL device is proposed, although as it was mentioned before there are only a few reports [ 20 , 21 ] of such complex procedures. Such a stepwise approach allows for increasing the number of successful procedures, however, it increases the periprocedural complication rate.…”

Section: Discussionmentioning

confidence: 99%

Shockwave intravascular lithotripsy as a novel strategy for balloon undilatable heavily calcified chronic total occlusion lesions

Rola

Włodarczak²,

Barycki

et al. 2023

Cardiol J.

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Background:The successful percutaneous coronary intervention (PCI) in chronic total occlusion (CTO) improves the long-term outcome in patients with coronary artery disease (CAD). Heavy calcification remains one of the strongest predictors of an unfavorable outcome of PCI. In this case series study, shockwave intravascular lithotripsy (S-IVL)-a novel balloon-based coronary system facilitating modification of calcified coronary lesions was evaluated. Methods:The study population consisted of five heavily calcified, undilatable-CTOs lesions treated with S-IVL selected out of all consecutive CTO-PCI patients performed at two highvolume cardiac centers. Results:The registry included 5 patients successful CTO -S-IVL procedures with an average J-CTO of 2.6 points. In the short-term follow-up period, including the first 30 days, no cases of acute in-stent thrombosis, target lesion failure, or major adverse cardiac and cerebrovascular events were noted. Conclusions:The present data suggest that this approach can be safe and useful in the treatment of complex calcified CTO lesions.

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“…16 Both RA and IVL have been shown to successfully modify heavily calcified lesions. 17 However, there are certain situations when one tool may be chosen over the other such as the inability to pass the IVL balloon may preclude IVL use and severely tortuous vessels may preclude RA. Either way, plaque modification in heavily calcified vessels has a baseline high risk for periprocedural complications with the use of either device.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Rotational atherectomy for calcified lesions during ST-segment elevation myocardial infarction: a case series and literature review

Brown

Jhand

Chatzizisis

et al. 2023

European Heart Journal - Case Reports

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Background ST elevation myocardial infarction (STEMI) has traditionally been a relative contraindication for the utilization of rotational atherectomy (RA). However, in severely calcified lesions, RA may be necessary to facilitate stent delivery. Cases Summary Three patients who present with STEMI are found to have severely calcified lesions on intravascular ultrasound. Equipment was unable to pass the lesions in all three cases. RA was therefore performed to allow for stent passage. All three case had achieved successful revascularization with no intraoperative or post operative complications. The patients remained angina-free the rest of their hospitalization and at 4 month follow up. Discussion Rotational atherectomy for calcific plaque modification during STEMI when equipment will not pass is a feasible and safe therapeutic option.

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Rotational atherectomy and intravascular lithotripsy: two methods versus a single lesion

Cited by 7 publications

References 1 publication

Feasibility of the intravascular lithotripsy in coronary artery disease. Short-term outcomes of the Lower-Silesia Shockwave Registry

Feasibility of the intravascular lithotripsy in coronary artery disease. Short-term outcomes of the Lower-Silesia Shockwave Registry

Shockwave intravascular lithotripsy as a novel strategy for balloon undilatable heavily calcified chronic total occlusion lesions

Rotational atherectomy for calcified lesions during ST-segment elevation myocardial infarction: a case series and literature review

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