Intravascular lithotripsy angioplasty for treatment of atherosclerotic coral-reef occlusion of the infrarenal aorta and its bifurcation
In the present report, we have described the use of intravascular lithotripsy angioplasty for heavily calcified occlusions of the infrarenal aorta and its bifurcation in two patients. In the first patient, two lithotripsy balloons in kissing conformation were simultaneously used to allow for dilatat...
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Format: | Article |
Language: | English |
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Elsevier
2023-03-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723000151 |
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author | Michele Piazza, MD Francesco Squizzato, MD Chiara De Massari, MD Franco Grego, MD Michele Antonello, MD, PhD |
author_facet | Michele Piazza, MD Francesco Squizzato, MD Chiara De Massari, MD Franco Grego, MD Michele Antonello, MD, PhD |
author_sort | Michele Piazza, MD |
collection | DOAJ |
description | In the present report, we have described the use of intravascular lithotripsy angioplasty for heavily calcified occlusions of the infrarenal aorta and its bifurcation in two patients. In the first patient, two lithotripsy balloons in kissing conformation were simultaneously used to allow for dilatation of the distal aorta and its bifurcation with preservation of accessory renal artery patency, followed by stenting of the iliac arteries. For the second patient, the infrarenal aorta occlusion was first treated with a single lithotripsy balloon, followed by covered stenting. Intravascular lithotripsy could represent a valid endovascular adjunct to optimize outcomes in the treatment of coral reef aortas and aortic bifurcation occlusion. |
first_indexed | 2024-04-09T21:42:12Z |
format | Article |
id | doaj.art-994da0789cb547b3ac052700c2ad0e10 |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-04-09T21:42:12Z |
publishDate | 2023-03-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj.art-994da0789cb547b3ac052700c2ad0e102023-03-26T05:18:02ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-03-0191101106Intravascular lithotripsy angioplasty for treatment of atherosclerotic coral-reef occlusion of the infrarenal aorta and its bifurcationMichele Piazza, MD0Francesco Squizzato, MD1Chiara De Massari, MD2Franco Grego, MD3Michele Antonello, MD, PhD4Correspondence: Michele Piazza, MD, Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, School of Medicine, Univeristy of Padua, Via Giustiniani 2 Padua 35125, Italy; Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, School of Medicine, University of Padua, Padua, ItalyDivision of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, School of Medicine, University of Padua, Padua, ItalyDivision of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, School of Medicine, University of Padua, Padua, ItalyDivision of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, School of Medicine, University of Padua, Padua, ItalyDivision of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, School of Medicine, University of Padua, Padua, ItalyIn the present report, we have described the use of intravascular lithotripsy angioplasty for heavily calcified occlusions of the infrarenal aorta and its bifurcation in two patients. In the first patient, two lithotripsy balloons in kissing conformation were simultaneously used to allow for dilatation of the distal aorta and its bifurcation with preservation of accessory renal artery patency, followed by stenting of the iliac arteries. For the second patient, the infrarenal aorta occlusion was first treated with a single lithotripsy balloon, followed by covered stenting. Intravascular lithotripsy could represent a valid endovascular adjunct to optimize outcomes in the treatment of coral reef aortas and aortic bifurcation occlusion.http://www.sciencedirect.com/science/article/pii/S2468428723000151Iliac arteryIntravascular lithotripsyPeripheral arterial diseaseStentsVascular calcification |
spellingShingle | Michele Piazza, MD Francesco Squizzato, MD Chiara De Massari, MD Franco Grego, MD Michele Antonello, MD, PhD Intravascular lithotripsy angioplasty for treatment of atherosclerotic coral-reef occlusion of the infrarenal aorta and its bifurcation Journal of Vascular Surgery Cases and Innovative Techniques Iliac artery Intravascular lithotripsy Peripheral arterial disease Stents Vascular calcification |
title | Intravascular lithotripsy angioplasty for treatment of atherosclerotic coral-reef occlusion of the infrarenal aorta and its bifurcation |
title_full | Intravascular lithotripsy angioplasty for treatment of atherosclerotic coral-reef occlusion of the infrarenal aorta and its bifurcation |
title_fullStr | Intravascular lithotripsy angioplasty for treatment of atherosclerotic coral-reef occlusion of the infrarenal aorta and its bifurcation |
title_full_unstemmed | Intravascular lithotripsy angioplasty for treatment of atherosclerotic coral-reef occlusion of the infrarenal aorta and its bifurcation |
title_short | Intravascular lithotripsy angioplasty for treatment of atherosclerotic coral-reef occlusion of the infrarenal aorta and its bifurcation |
title_sort | intravascular lithotripsy angioplasty for treatment of atherosclerotic coral reef occlusion of the infrarenal aorta and its bifurcation |
topic | Iliac artery Intravascular lithotripsy Peripheral arterial disease Stents Vascular calcification |
url | http://www.sciencedirect.com/science/article/pii/S2468428723000151 |
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