The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Intravascular Lithotripsy for Calcific Coronary and Peripheral Stenoses

EuroIntervention 2019; just accepted article published in May 2019. DOI: 10.4244/EIJ-D-18-01056

1. Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy; Cardiology Division, Spedali Riuniti, Livorno, Italy; 2. Structural Interventional Cardiology, Careggi University Hospital, Florance, Italy, ITALY; 3. Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy; 4. Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy; 5. Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy; 6. Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy; 7. Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy; 8. Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy; 9. Department of Vascular and Interventional Radiology, Careggi University Hospital, Florence, Italy; 10. St Francis Hospital, Roslyn, New York, USA; 11. New York Presbyterian Hospital/Columbia University Presbyterian Hospital and Cardiovascular Research foundation, New York, NY, USA; 12. Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy
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Heavily calcified lesions may be difficult to adequately dilate with conventional balloons and stents causing frequent peri-procedural complications and higher rates of target lesion revascularization (TLR). High pressure non-compliant balloon angioplasty may be of insufficient force to modify calcium, and even when successful, may be limited in their ability to modify the entire calcified lesion. Scoring and cutting balloons hold theoretical value but data to support their efficacy is lacking, and because of their high lesion crossing profile, often fail to reach the target lesion. Rotational and orbital atherectomy target superficial calcium, however deep calcium, which may still impact vessel ...

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