Deferred Intravascular Lithotripsy-Facilitated Stenting in ACS: Novel Approach to Improve PCI Outcomes in Severe Calcification?

Abstract

Moderate/severe calcification, present in approximately one-third of culprit lesions in acute coronary syndromes (ACS), portends unfavorable procedural and post-primary percutaneous coronary intervention outcomes. Intravascular lithotripsy is a novel technique using shockwaves to fracture calcific plaques. Presenting a clinical case, we enumerate efficacy and safety parameters in using intravascular lithotripsy in ACS. (Level of Difficulty: Advanced.) (J Am Coll Cardiol Case Rep 2020;2:1700–1) © 2020 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).