000			02940nam a22004097a 4500
008			210628s20212021 xxu||||| |||| 00| 0 eng d
022			_a1878-0938
024			_a10.1016/j.carrev.2020.02.016 [doi]
024			_aS1553-8389(20)30086-5 [pii]
040			_aOvid MEDLINE(R)
099			_a32111558
245			_aTreatment of a Heavily Calcified Celiac Artery Ostial Subtotal Occlusion Using Shockwave Lithotripsy: A Novel Approach.
251			_aCardiovascular Revascularization Medicine. 25:72-74, 2021 Apr.
252			_aCardiovasc Revasc Med. 25:72-74, 2021 Apr.
253			_aCardiovascular revascularization medicine : including molecular interventions
260			_c2021
260			_fFY2021
260			_p2021 Apr
265			_sppublish
266			_d2021-06-28
501			_aAvailable in print through MWHC library: 2002 - present
520			_aCASE 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.
520			_aCONCLUSION: 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.
520			_aPURPOSE: We present the novel use of adjunctive intravascular lithotripsy (IVL) before definitive intravascular stenting of a heavily calcified celiac artery ostial occlusion.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Heart & Vascular Institute
651			_aMedStar Washington Hospital Center
656			_aInterventional Cardiology Fellowship
657			_aCase Reports
700			_aBernardo, Nelson L
700			_aCase, Brian
700			_aWaksman, Ron
790			_aBernardo NL, Case BC, Cheng PVCY, Singh A, Waksman R
856			_uhttps://dx.doi.org/10.1016/j.carrev.2020.02.016 _zhttps://dx.doi.org/10.1016/j.carrev.2020.02.016
942			_cART _dArticle
999			_c6541 _d6541