| CASE REPORT |
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| Year : 2021 | Volume
: 11
| Issue : 1 | Page : 54-57 |
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Intravascular lithotripsy to treat an underexpanded coronary stent during index procedure: A case report study
Sherif Seif1, Abhishek Kumar2, Sanjay Arya2, Vellore J Karthikeyan2
1 Cardiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt; Cardiology Department, Royal Albert Edward Infirmary, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, United Kingdom
2 Cardiology Department, Royal Albert Edward Infirmary, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, United Kingdom
Correspondence Address:
Dr. Sherif Seif
Royal Albert Edward Infirmary, Wigan Lane, Wigan WN1 2NN.
United Kingdom
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ajm.ajm_200_20
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Management of heavily calcified lesions during percutaneous coronary intervention (PCI) is often associated with high incidence of complications and long-term adverse outcomes. There is growing evidence of the efficacy of intravascular lithotripsy (IVL) in de novo coronary lesion preparation; however, little experience has been documented within freshly deployed stent underexpansion. We report a 66-year-old male with a marked stent underexpansion despite extensive lesion preparation due to severe underlying calcification. The stent was resistant to balloon postdilatation; therefore, IVL was applied, resulting in excellent stent expansion. IVL could be considered for treating acute stent underexpansion caused by severe underlying calcification. |
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