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Review
. 2022 Jan 28:17:e02.
doi: 10.15420/icr.2021.14. eCollection 2022 Jan.

Best Practice in Intravascular Lithotripsy

Benjamin Honton  1 , Jacques Monsegu  2
Affiliations
Review

Best Practice in Intravascular Lithotripsy

Benjamin Honton et al. Interv Cardiol. .

Abstract

Intravascular lithotripsy (IVL) is a novel approach to lesion preparation of severely calcified plaques in coronary and peripheral vessels. Lithotripsy is delivered by vaporising fluid to create an expanding bubble that generates sonic pressure waves that interact with arterial calcification. Available data indicate that IVL leads to increased vessel compliance before stent implantation with high efficacy and an excellent safety profile. Since it gained the CE mark in 2017, and with improved operator experience, the use of IVL has expanded into more complex clinical situations. This review focuses on the best practice for IVL use in the cath lab, based on 3 years of experience with the technology and the latest scientific data from the Disrupt CAD clinical trials.

Keywords: Disrupt CAD; Intravascular lithotripsy; best practice; coronary calcified lesion; plaque modification.

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Conflict of interest statement

Disclosure: BH receives speaker fees from Shockwave. JM has no conflicts of interest to declare. Support: The publication of this article was supported by Shockwave Medical Inc.

Figures

Figure 1:
Figure 1:. Intravascular Lithotripsy Shockwave System
Figure 2:
Figure 2:. Decision Algorithm for Treatment of Calcified Coronary Vessels
Figure 3:
Figure 3:. Typical Multiplane and Longitudinal Optical Coherence Tomography Fractures with Immediate Lumen Gain Increased After Stent Delivery
Figure 4:
Figure 4:. Calcic Microfractures Induced by Intravascular Lithotripsy in Micro CT and Histology
Figure 5:
Figure 5:. Intravascular Lithotripsy in Severe Calcified Unprotected Left Main Lesion
See this image and copyright information in PMC

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