Management of densely calcified coronary lesions using OPN–NC balloon and shockwave intravascular lithotripsy procedure: A single-center study

Manjunath Bagur
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Abstract

Background: Calcified coronary lesions are challenging to the interventional cardiologists to manage. Debulking the calcified lesions with Rotablation is a well known strategy. Shockwave intravascular lithotripsy (IVL) is the newer novel therapeutic procedure found to be very effective in PCI of calcified lesions. Aims and Objectives: To assess the clinical utility of Shockwave IVL in densly calcified coronary lesions. Materials and Methods: Four patients underwent PCI with Shockwave IVL for densly calcified lesions between Febraury and March of 2020 and were followed up clinically in our centre. Results: All patients are doing well clinically without any coronary events. Conclusion: Shockwave IVL is safe and accepted modality of debulking the densly calcified coronary lesions and prepare the bed for optimal stent deployment.
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使用OPN-NC球囊和冲击波血管内碎石术治疗密集钙化的冠状动脉病变:一项单中心研究
背景:钙化冠状动脉病变对介入心脏病专家来说是一个挑战。用旋转术去除钙化病变是一种众所周知的策略。冲击波血管内碎石术(IVL)是一种较新的治疗方法,在钙化病变的PCI治疗中非常有效。目的:探讨冲击波IVL在冠状动脉致密钙化病变中的临床应用价值。材料与方法:于2020年2 - 3月在我中心行冲击波IVL行PCI治疗致密钙化病变4例,并进行临床随访。结果:所有患者临床表现良好,无冠状动脉事件发生。结论:冲击波IVL是一种安全可行的治疗冠状动脉致密钙化病变的方法,可为最佳支架置放奠定基础。
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