Figure 1. LAD angiography and OCT. A) & B) Basal angiograms (red arrow, heavily calcified stenosis). C) OCT 360° calcified plaque. D) Deep intubation with a GuideLiner and IVL balloon inflation (4 atm). E) IVL balloon rupture with subsequent vessel dissection. F) Final result.
Coronary calcifications represent one of the hardest challenges for interventional cardiologists. Calcifications increase difficulties related to the procedure, causing a decreased stent expansion and higher number of dissections1. Recently, numerous devices for coronary debulking have appeared on the market such as the Coronary Lithoplasty® System for intravascular lithoplasty (IVL; Shockwave Medical, Inc., Santa Clara, ...
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