Journal of Vascular Medicine & Surgery

Department of Cardiology, Meadville Medical Center, Meadville, Pennsylvania, USA

Publications

• Short Communication   
  Intravascular Lithotripsy to Facilitate Carotid Stenting
  Author(s): Kevin Kang* and John Wilson
  
  Severe arterial calcification can make balloon and stent expansion challenging. Severely calcified lesions are more likely to undergo recoil after balloon expansion or stenting. Intravascular Lithotripsy (IVL) is a potential solution for severe calcification limiting stent expansion or recoil in the Internal Carotid Artery (ICA). IVL has been rarely tried in ICA territory. ICA endovascular intervention is unique due to high risk of stroke and use of distal protection is mandatory to qualify for procedure re-imbursement. IVL is not approved in the ICA territory and not approved for treating under expanded stents. But, traditional calcium de bulking devices like Rotational or orbital atherectomy are dangerous in ICA territory while calcium scoring devices might fail. IVL can modify calcified plaque without direct mechanism for embolization. There have been reports o.. View more»
  

  DOI: 10.35248/2329-6925.22.10.461

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