Authors

• Ivana Kuserbanj — Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska — ORCID: 0000-0002-7792-3837
• Sandra Benković — Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska — ORCID: 0000-0003-2457-3279
• Jadranka Daskijević — Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska

Abstract

The coronary lithotripsy system is indicated when there is a need to improve the lumen of calcified and stenotic coronary arteries with a balloon catheter under low ATM before a stent is implanted. (1) The coronary intravascular lithotripsy catheter is routed through coronary arteries until it reaches a difficult to approach spot of a calcified stenosis, including also the calcified stenosis that we assume are going to provide resistance when being inflated by a PTCA balloon or when a coronary artery is being prepared for a stent implantation and evenly expand an implanted coronary stent. The lithotripsy catheter emits intermittent sound waves at the aimed spot, breaking the calcium clusters in the lesion therefore enabling a larger lumen with the help of a low ATM inflated balloon. In this paper we will present a case report of a patient before and after intravascular lithotripsy, including the preparation of the patient and the catheter itself.

Keywords

coronary intravascular lithrotipsy, coronary artery

DOI

Literature

1. Brinton TJ, Ali ZA, Hill JM, Meredith IT, Maehara A, Illindala U, et al. Feasibility of Shockwave Coronary Intravascular Lithotripsy for the Treatment of Calcified Coronary Stenoses. Circulation. 2019 February 5;139(6):834–6. https://doi.org/10.1161/CIRCULATIONAHA.118.036531