Coronary Artery Perforation After Shockwave Intravascular Lithotripsy

Cihan Simsek; Jeroen Vos; Alexander IJsselmuiden; Martijn Meuwissen; Ben van den Branden; Peter den Heijer; Bas E Schölzel

doi:10.1016/j.jaccas.2019.10.045

Coronary Artery Perforation After Shockwave Intravascular Lithotripsy

JACC Case Rep. 2020 Feb 19;2(2):247-249. doi: 10.1016/j.jaccas.2019.10.045. eCollection 2020 Feb.

Authors

Cihan Simsek¹, Jeroen Vos¹, Alexander IJsselmuiden¹, Martijn Meuwissen¹, Ben van den Branden¹, Peter den Heijer¹, Bas E Schölzel¹

Affiliation

¹ Department of Cardiology, Amphia Ziekenhuis, Breda, the Netherlands.

Abstract

Severely calcified coronary lesions remain a challenge in current percutaneous coronary interventions. Shockwave intravascular lithotripsy (Shockwave Medical, Inc., Santa Clara, California) is an alternative for rotational atherectomy in such lesions that supports stent deliverability and achieves optimal results. We describe a case of coronary artery perforation after use of this lithotripsy device. (Level of Difficulty: Advanced.).

Keywords: CTO, chronic total occlusion; LAD, left anterior descending; PCI, percutaneous coronary intervention; S-IVL, Shockwave intravascular lithotripsy; calcified lesions; coronary artery perforation; intravascular lithotripsy; percutaneous coronary intervention.

Publication types

Case Reports