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Intravascular lithotripsy‐assisted Impella insertion: A case report
Author(s) -
Riley Robert F.,
Corl John D.,
Kereiakes Dean J.
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28168
Subject(s) - medicine , impella , lithotripsy , percutaneous coronary intervention , percutaneous , conventional pci , cardiology , radiology , peripheral , circulatory system , cardiac catheterization , surgery , cardiogenic shock , myocardial infarction
Coronary and peripheral arterial calcification increases the complexity of percutaneous treatment strategies in both coronary and peripheral interventions. The first use of intravascular lithotripsy (IVL) using the Shockwave IVL device (Shockwave Medical Inc) in femoropopliteal arteries for modification of calcified plaque was recently described. We present a case illustrating use of the device to deliver a 14 French sheath for delivery of an Impella mechanical circulatory device prior to high‐risk percutaneous coronary intervention (PCI). This case illustrates that IVL may be used to facilitate a broadening array of procedures in the catheterization laboratory, including the delivery of large bore sheathes.