Intravascular Lithotripsy for Coronary Artery Calcification: An Expert Review.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiology in Review Pub Date : 2025-01-15 DOI:10.1097/CRD.0000000000000836
Ankit Agrawal, Rahul Gupta, Aro Daniela Arockiam, Umesh Bhagat, Sanya Chandna, Wilbert S Aronow, William H Frishman, Samin K Sharma
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引用次数: 0

Abstract

Coronary artery calcification is an impediment to percutaneous coronary interventions by obstructing the device pathway or stent deployment. To facilitate percutaneous coronary intervention in such complex lesions, high-pressure balloon dilations, atherectomy procedures, and specialty balloons are used but they all come with considerable limitations and periprocedural complications like dissection and perforation. To surpass these disadvantages, intravascular lithotripsy was introduced which acts by delivering high-pressure pulsatile sonic waves circumferentially thereby destroying the calcium deposits. It is a safe and effective treatment modality in treating severe coronary artery calcification and facilitating stent delivery with minimal complications.

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冠状动脉钙化的血管内碎石术:专家综述。
冠状动脉钙化是经皮冠状动脉介入治疗的障碍,它阻碍了器械通路或支架的部署。为了便于对此类复杂病变进行经皮冠状动脉介入治疗,高压球囊扩张术、动脉粥样硬化切除术和特殊球囊都被使用,但它们都有相当大的局限性和术中并发症,如夹层和穿孔。为了克服这些缺点,引入了血管内碎石术,其作用是通过向周传递高压脉冲声波从而破坏钙沉积。它是一种安全有效的治疗方式,治疗严重冠状动脉钙化,促进支架置入,并发症最少。
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来源期刊
Cardiology in Review
Cardiology in Review CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
4.60
自引率
0.00%
发文量
76
审稿时长
>12 weeks
期刊介绍: The mission of Cardiology in Review is to publish reviews on topics of current interest in cardiology that will foster increased understanding of the pathogenesis, diagnosis, clinical course, prevention, and treatment of cardiovascular disorders. Articles of the highest quality are written by authorities in the field and published promptly in a readable format with visual appeal
期刊最新文献
A Brief History of Clinical Electrocardiography: A Century After Einthoven's Nobel Prize. Exploring the Connection: Moyamoya Disease and Its Implications for Cardiovascular Health. Intravascular Lithotripsy for Coronary Artery Calcification: An Expert Review. CPAP Therapy for OSA and Its Impact on Various Cardiovascular Disorders. Sodium, the Vascular Endothelium, and Hypertension: A Narrative Review of Literature.
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