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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Main Authors: Michele Piazza, MD, Francesco Squizzato, MD, Chiara De Massari, MD, Franco Grego, MD, Michele Antonello, MD, PhD
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
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.
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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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