The Unique Role of Intravascular Lithotripsy (IVL) in Debulking the Nodular Calcium in Left Main Coronary Artery Bifurcation

被引：0
|
作者：
Mahanta, Dibyasundar [1 ]
Deb, Pranjit [2 ]
Mohanan, Saran [2 ]
Acharya, Debasis [2 ]
Das, Debasish [2 ]
机构：
[1] SUM Hosp, Cardiol, Bhubaneswar, India
[2] All India Inst Med Sci, Cardiol, Bhubaneswar, India
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 06期
关键词：
left main coronary artery; coronary; debulking; nodular calcium; intravascular lithotripsy;
D O I：
10.7759/cureus.62439
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Nodular calcium poses a great challenge during coronary intervention. The presence of nodular calcium is associated with poor post -procedural outcomes. Without debulking the nodular calcium, it is extremely difficult to pass the coronary hardwires including the balloons and drug -eluting stents across the lesion. Application of high atmospheric pressure during balloon inflation in the presence of nodular calcium leads to vessel perforation which is a catastrophe during coronary intervention. We report a rare case of nodular calcium in the left main coronary artery bifurcation which was successfully cracked with pulses of intravascular lithotripsy in a 75 -year -old male with old anterior wall myocardial infarction. Although rotablation and orbital arthrectomy have a role in modifying calcium nodules in coronary arteries, intravascular lithotripsy was also successful in debulking the nodular calcium in the left main coronary artery bifurcation.
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