Intracoronary Lithotripsy Use for In-Stent Restenosis, Including Multilayer ISR.
Introduction: Intravascular lithotripsy (IVL) has been well characterized as a safe and effective method for plaque modification in the treatment of de-novo, calcific coronary artery disease. In-stent restenosis (ISR) remains a major challenge in coronary revascularization, especially "multilayer" I...
| Publicado en: | Cardiovascular Revascularization Medicine Vol. 44; pp. 10 - 14 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Nov2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159742830&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159742830 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15538389 1E2M jtl: Cardiovascular Revascularization Medicine issn: 15538389 maglogo: N pubinfo: dt: Nov2022 vid: 44 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 159742830 159742830 NLM35779995 159742830 10.1016/j.carrev.2022.06.261 NLM35779995 159742830 ppf: 10 ppct: 4 formats: tig: atl: Intracoronary Lithotripsy Use for In-Stent Restenosis, Including Multilayer ISR. aug: au: Kassab, Kameel Kassier, Adnan Fischell, Tim A. affil: Division of Cardiology, Ascension Borgess Heart Institute, Kalamazoo, MI, USA sug: subj: Coronary Restenosis Etiology Coronary Restenosis Lithotripsy Adverse Effects Coronary Restenosis Therapy Risk Factors Stents Adverse Effects Constriction, Pathologic Retrospective Design Treatment Outcomes Short Portable Mental Status Questionnaire ab: Introduction: Intravascular lithotripsy (IVL) has been well characterized as a safe and effective method for plaque modification in the treatment of de-novo, calcific coronary artery disease. In-stent restenosis (ISR) remains a major challenge in coronary revascularization, especially "multilayer" ISR. The use of IVL in ISR remains off-label and has been described in case reports and small case series. We report the single-center experience using IVL for the treatment of ISR, including multilayer ISR.Materials and Methods: This was a retrospective single-center study. All intracoronary percutaneous interventions requiring lithotripsy use, between May 2021 and December 2021, were reviewed. We selected only the cases involving IVL use for the treatment of in-stent restenosis. Baseline characteristics of patients were obtained from chart review. Procedural details and outcomes were obtained from reports and from a detailed review of procedural images.Results: A total of 13 ISR lesions were treated with IVL, of which 5 were in cases of multilayer ISR. Procedural success was observed in 11 lesions. Three patients had recurrent angina during a mean follow-up of 133 days. None of the patients had hard outcomes of myocardial infarction or cardiac death during the follow-up period.Conclusion: IVL is feasible and safe for ISR treatment including multilayer ISR. IVL is associated with good immediate procedural success, and a low rate of short-term adverse outcomes. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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