Case Report
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World J Cardiol. Sep 26, 2022; 14(9): 496-507
Published online Sep 26, 2022. doi: 10.4330/wjc.v14.i9.496
Intravascular lithotripsy for coronary calcium: A case report and review of the literature
Akshyaya Pradhan, Pravesh Vishwakarma, Monika Bhandari, Rishi Sethi
Akshyaya Pradhan, Pravesh Vishwakarma, Monika Bhandari, Rishi Sethi, Department of Cardiology, King George Medical University, Lucknow 226006, Uttar Pradesh, India
Author contributions: Pradhan A and Bhandari M devised the project, performed the literature search, wrote the first draft and prepared the final manuscript; Vishwakarma P and Bhandari M collected the data; Vishwakarma P and Sethi R critically reviewed and suggested changes; Vishwakarma P created all the images; Sethi R revised the entire manuscript and prepared the final version; Pradhan A, Bhandari M and Vishwakarma P submitted the revised version.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent for publication of anonymized data.
Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Check list (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Monika Bhandari, MBBS, MD, Additional Professor, Department of Cardiology, King George Medical University, Shahmina Road, Chowk, Lucknow 226006, Uttar Pradesh, India. drmonikab@gmail.com
Received: May 2, 2022
Peer-review started: May 2, 2022
First decision: May 31, 2022
Revised: July 6, 2022
Accepted: August 26, 2022
Article in press: Auguest 26, 2022
Published online: September 26, 2022
Processing time: 140 Days and 16.4 Hours
Core Tip

Core Tip: The presence of severe calcification in coronary arteries poses a challenge for the interventional cardiologist. If inadequately addressed, it leads to inadequate stent expansion, difficulty in delivery of stent/balloon, balloon rupture, stent dislodgement, stent thrombosis and even perforation. Intravascular lithotripsy is a novel technique utilizing ultrasonic waves to disrupt the calcium in the vessel wall while retaining them in situ. With the accumulation of data and growing expertise of operators with intravascular lithotripsy, it is turning out to be an indispensable tool in catheterization laboratory. We present 2 cases in which intravascular lithotripsy was successfully utilized.