Background: Severe coronary artery calcification is associated with low success rate of interventional operation, perioperative adverse cardiac events, and poor prognosis, which is a major problem faced by operators. The existing therapy methods all have inherent limitations, such as unsatisfactory balloon crossability, inadequate balloon dilation, and so on. The emergence of intravascular lithotripsy (IVL) has brought the dawn of the treatment of calcified lesions by using unfocused acoustic pressure waves to fracture calcification in situ. And IVL is the only technology capable of targeting deep calcification.
Hypothesis: IVL may have great clinical application values and potential prospects.
Method: Based on the existing clinical evidence of IVL and traditional treatment ways, this review discusses the safety and efficacy of IVL. Combined with clinical practice, the precautions and coping strategies of IVL are analyzed. And the review improves the management algorithm of coronary calcification.
Results: IVL has extremely high safety and effectiveness for severe coronary calcification compared with other ways, and structural improvements of IVL will further expand its value.
Conclusions: The emergence of IVL could set off a revolution in the treatment of coronary artery calcification.
Keywords: intravascular lithotripsy; precautions and coping strategies; severe calcification; shockwave ballon; treatment algorithm.
© 2023 The Authors. Clinical Cardiology published by Wiley Periodicals LLC.