Gustavo Inzunza-Cervantes, Erick Alfonso García-Fajardo, Francisco Antonio Martínez-Hernández, Verónica Zazueta-Armenta, Jesús Omar Hernandez-Marquez, Juan Ramón Herrera-Gavilanes
BACKGROUND: Complex calcified coronary lesions are a frequent finding during percutaneous coronary intervention, representing for decades a challenge and limitation in patients with indication of revascularization, due to suboptimal angiographic results, high incidence of perioperative complications and long-term adverse events despite the multiple strategies employed, such as the use of cutting balloon, high-pressure balloons or rotational or orbital atherectomy, interventions with limitations that have hindered its routine use, recently a new plaque modification technique known as coronary intravascular lithotripsy has burst into the treatment of this complex entity, which consists in the use of a specially modified balloon for the emission of pulsatile mechanical energy (sonic pressure waves) that allows modifying the calcified plate...
November 6, 2023: Revista Médica del Instituto Mexicano del Seguro Social