02940nam a22004097a 4500
210628s20212021 xxu||||| |||| 00| 0 eng d
1878-0938
10.1016/j.carrev.2020.02.016 [doi]
S1553-8389(20)30086-5 [pii]
Ovid MEDLINE(R)
32111558
Treatment of a Heavily Calcified Celiac Artery Ostial Subtotal Occlusion Using Shockwave Lithotripsy: A Novel Approach.
Cardiovascular Revascularization Medicine. 25:72-74, 2021 Apr.
Cardiovasc Revasc Med. 25:72-74, 2021 Apr.
Cardiovascular revascularization medicine : including molecular interventions
2021
FY2021
2021 Apr
ppublish
2021-06-28
Available in print through MWHC library: 2002 - present
CASE REPORT: A 79-year-old woman presented with chronic post-prandial abdominal pain and weight loss. Selective angiography revealed a sub-totally occluded celiac artery. Percutaneous endovascular intervention of the celiac artery was attempted but was unsuccessful because of heavy calcification. The patient returned for a repeat procedure. A guidewire was successfully advanced across the sub-totally occluded ostium. A Shockwave Lithotripsy BDC 7.0-mm/60-mm balloon catheter (Shockwave Medical Inc., Santa Clara, California) was successfully used to modify the calcified plaque. Next, a stent was deployed for definitive therapy. The final angiogram showed an excellent result. The patient tolerated the procedure well and was sent home on dual antiplatelet therapy. Nine months after the procedure, she had gained weight and denied any further post-prandial abdominal pain.
CONCLUSION: IVL treatment modality to modify calcified lesions in the splanchnic circulation should be considered as a novel approach to patients in whom traditional endovascular treatment modalities are thought to be suboptimal. Further controlled studies are needed to access the safety, feasibility, and efficacy of the use of this novel technology in this vascular territory. Copyright (c) 2020 Elsevier Inc. All rights reserved.
PURPOSE: We present the novel use of adjunctive intravascular lithotripsy (IVL) before definitive intravascular stenting of a heavily calcified celiac artery ostial occlusion.
English
IN PROCESS -- NOT YET INDEXED
MedStar Heart & Vascular Institute
MedStar Washington Hospital Center
Interventional Cardiology Fellowship
Case Reports
Bernardo, Nelson L
Case, Brian
Waksman, Ron
Bernardo NL, Case BC, Cheng PVCY, Singh A, Waksman R
https://dx.doi.org/10.1016/j.carrev.2020.02.016
https://dx.doi.org/10.1016/j.carrev.2020.02.016
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2021-06-28
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32111558
32111558
2021-06-28
2021-06-28
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