Shock and Awe: Successful Revascularization with Intravascular Lithotripsy in Recurrent ST-Elevation Myocardial Infarction Secondary to Stent Under-Expansion

Pramod Kumar Ponna; Akhilesh Gonuguntla; Ramya Krishna Botta; Sruthi Kotaru; Tim A. Fischell; Adnan Alexander Kassier; Yashwant Agrawal

doi:10.14797/mdcvj.1257

Shock and Awe: Successful Revascularization with Intravascular Lithotripsy in Recurrent ST-Elevation Myocardial Infarction Secondary to Stent Under-Expansion

Methodist DeBakey Cardiovascular Journal

Volume 19 (2023): Issue 1

By: Pramod Kumar Ponna , Akhilesh Gonuguntla , Ramya Krishna Botta , Sruthi Kotaru , Tim A. Fischell, Adnan Alexander Kassier and Yashwant Agrawal

Open Access

|Aug 2023

Abstract

We report a case of recurrent ST-segment elevation myocardial infarction (STEMI) due to a previously implanted under-expanded stent with in-stent thrombosis refractory to traditional interventional techniques. We underscore the utility of bail-out shockwave intravascular lithotripsy to tackle previously under-expanded stents in this acute setting.

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Articles in this issue

DOI: https://doi.org/10.14797/mdcvj.1257 | Journal eISSN: 1947-6108

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Language: English

Page range: 55 - 60

Submitted on: May 4, 2023

Accepted on: Jun 21, 2023

Published on: Aug 17, 2023

Published by: Houston Methodist DeBakey Heart & Vascular Center

In partnership with: Paradigm Publishing Services

Keywords:

intravascular lithotripsy,

calcified coronary artery,

underexpanded stent,

ST-elevation myocardial infarction

© 2023 Pramod Kumar Ponna, Akhilesh Gonuguntla, Ramya Krishna Botta, Sruthi Kotaru, Tim A. Fischell, Adnan Alexander Kassier, Yashwant Agrawal, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.

Volume 19 (2023): Issue 1