Journal of Vascular Medicine & Surgery

Abstract

Application of Shockwave Balloon Intravascular Lithotripsy in the Treatment of Severe Calcification of Aortic Branches: Two Cases Report

Jianli Luan1, Guanzhi Zhou, Xingyi Tang, Huibo Ma, Zhihui Wang, Huichao Xu, Yangshuo Liu, Zhenyuan Zhao, Yongxin Li1, Mingjin Guo*

Intravascular Lithotripsy (IVL) using shockwave balloon has been commonly applied in patients with coronary artery calcification stenosis. IVL is a technology based on lithotripsy, where multiple emitters installed on a traditional balloon catheter to selectively emits non-focusing and pulsed shockwaves to safely disrupt arterial plaque calcification, enhancing vascular compliance, and optimizing stent expansion. The shockwave balloon does not damage the flexible vessel wall and leaves the disrupted calcification reshaped but not fragmented, providing a novel treatment approach for severe calcified vascular stenosis. However, the application of shockwave balloon in aortic branches has limited clinical experience. This report aims to present two cases of shockwave balloon angioplasty for the treatment of severe calcification of aortic branches. This is an innovative method. The operation was successful and the patient recovered well after the operation.

Published Date: 2026-02-10; Received Date: 2024-08-16