The utilization of intravascular lithotripsy to facilitate transcarotid artery revascularization

Carotid artery disease and stroke account for the second cause of mortality in worldwide. Recently, transcarotid artery stenting (TCAR) has emerged as a treatment modality that carries a very low stroke rate. However, there are limitations to TCAR, such as heavily calcified plaques that might preclu...

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Bibliographic Details
Published in:	Journal of cardiovascular surgery Vol. 61; no. 6; p. 759
Main Authors:	Malgor, Rafael D, Rogers, Kevin, Malgor, Emily A, Al-Musawi, Mohammed, Siada, Sammy, Jacobs, Donald L
Format:	Journal Article
Language:	English
Published:	Italy 01-12-2020
Subjects:	Aged, 80 and over Angioplasty, Balloon - instrumentation Carotid Stenosis - diagnostic imaging Carotid Stenosis - physiopathology Carotid Stenosis - therapy Humans Lithotripsy Male Plaque, Atherosclerotic Stents Treatment Outcome Vascular Calcification - diagnosis Vascular Calcification - physiopathology Vascular Calcification - therapy
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Summary:	Carotid artery disease and stroke account for the second cause of mortality in worldwide. Recently, transcarotid artery stenting (TCAR) has emerged as a treatment modality that carries a very low stroke rate. However, there are limitations to TCAR, such as heavily calcified plaques that might preclude optimal stent expansion. We describe a successful transcarotid artery stenting with flow reversal performed in an independent and active nonagenarian with focal, circumferentially calcified carotid artery plaque, for which intravascular lithotripsy was utilized.
ISSN:	0021-9509 1827-191X
DOI:	10.23736/S0021-9509.20.11421-6