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Cardiovascular Medicine
Volume 22
Issue 2
10.4414/cvm.2019.02013
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Case Report

The Effect of Lithoplasty on the Coronary Arteries

by
Bossard Matthias
,
Moccetti Federico
,
Toggweiler Stefan
,
Brinkert Miriam
,
Kobza Richard
and
Cuculi Florim
*
Cardiology Division, Heart Centre, Luzerner Kantonsspital, Luzern, Switzerland
*
Author to whom correspondence should be addressed.
Cardiovasc. Med. 2019, 22(2), w02013; https://doi.org/10.4414/cvm.2019.02013
Submission received: 12 December 2018 / Revised: 12 January 2019 / Accepted: 12 February 2019 / Published: 12 March 2019
Versions Notes

Abstract

We describe the case of a 79-year-old gentleman presenting with non-ST-elevation myocardial infarction and a heavily calcified bifurcation stenosis of the left anterior descending artery (LAD) and the diagonal branch. On optical coherence tomography (OCT), we encountered circular calcium in the LAD. Based on these findings, we decided to use intravascular lithoplasty (Shockwave Medical, Fremont, California) to prepare the extremely calcified lesion. The subsequent OCT investigation demonstrated calcium containing cracks in the intima and the media of the LAD. We were then able to treat the bifurcation lesion with two everolimus-eluting stents. The final OCT demonstrated good stent expansion and apposition. Extensive and deep calcified coronary artery disease represents a common cause for failure of percutaneous coronary interventions, including the inability to deliver a stent system or stent underexpansion, which represents an important determinant for instent restenosis or stent thrombosis. Our case illustrates how a heavily calcified LAD lesion can be relatively easily treated using the novel Shockwave Medical Coronary Lithoplasty balloon system®.
Keywords: lithoplasty; percutaneous coronary intervention; stent; OCT; calcified lesion; angioplasty lithoplasty; percutaneous coronary intervention; stent; OCT; calcified lesion; angioplasty

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MDPI and ACS Style

Matthias, B.; Federico, M.; Stefan, T.; Miriam, B.; Richard, K.; Florim, C. The Effect of Lithoplasty on the Coronary Arteries. Cardiovasc. Med. 2019, 22, w02013. https://doi.org/10.4414/cvm.2019.02013

AMA Style

Matthias B, Federico M, Stefan T, Miriam B, Richard K, Florim C. The Effect of Lithoplasty on the Coronary Arteries. Cardiovascular Medicine. 2019; 22(2):w02013. https://doi.org/10.4414/cvm.2019.02013

Chicago/Turabian Style

Matthias, Bossard, Moccetti Federico, Toggweiler Stefan, Brinkert Miriam, Kobza Richard, and Cuculi Florim. 2019. "The Effect of Lithoplasty on the Coronary Arteries" Cardiovascular Medicine 22, no. 2: w02013. https://doi.org/10.4414/cvm.2019.02013

APA Style

Matthias, B., Federico, M., Stefan, T., Miriam, B., Richard, K., & Florim, C. (2019). The Effect of Lithoplasty on the Coronary Arteries. Cardiovascular Medicine, 22(2), w02013. https://doi.org/10.4414/cvm.2019.02013

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