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

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

Open Access
|Aug 2023

Figures & Tables

Figure 1

Optical coherence tomography of the right coronary artery showed significant calcification along with severely under-expanded and malapposed stent.

Video 1

Coronary angiography revealed 100% occluded right coronary artery stent causing the patient’s inferior ST-elevation myocardial infarction; see also at https://youtube.com/shorts/ee7qbm-a8G4

Video 2

Final angiographic findings revealed residual 30% to 40% stenosis with Thrombolysis in Myocardial Infarction-3 flow in the right coronary artery; see also at https://youtube.com/shorts/iqwHACzyv4A

Video 3

Coronary angiography revealed 100% occluded right coronary artery stent causing the patient’s recurrent inferior ST-elevation myocardial infarction; see also at https://youtube.com/shorts/ACLrnSVUODc

Video 4

Intravascular ultrasound of the right coronary artery revealed severely calcified lesion with under-expanded and malapposed stent; see also at https://youtube.com/shorts/8oIxN4q0rKo

Video 5

Intravascular ultrasound revealed fragmentation of the calcification and expansion of the stent; see also at https://youtube.com/shorts/HeJhQfgemY4

Video 6

Final angiographic findings revealed residual 0% stenosis with Thrombolysis in Myocardial Infarction-3 flow in the right coronary artery; see also at https://youtube.com/shorts/y1svDHpX4G0

Figure 2

Dry-cine of the right coronary artery stent pre-intravascular lithotripsy.

Figure 3

Dry-cine of the right coronary artery stent post-intravascular lithotripsy revealing stent-release.

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

© 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.