Intracoronary Lithotripsy

Intracoronary Lithotripsy

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Percutaneous coronary intervention was performed in a flush in-stent right coronary artery chronic total occlusion.Successful retrograde recanalization was performed but the Water Bottle Holder lesion was balloon undilatable as confirmed by intravascular ultrasound.High-pressure Shop Service post-dilation with noncompliant and plaque modification balloons failed, but intravascular lithotripsy successfully expanded the lesion.

(Level of Difficulty: Advanced.).