Use of intravascular lithotripsy in non-coronary artery lesions  

作　　者：Chukwuemeka Anthony Umeh Ashley Stratton Tifani Wagner Shipra Saigal Krystal Sood Raghav Dhawan Cory Wagner Jessica Obi Sabina Kumar Tsung Han Scottie Ching Rahul Gupta 

机构地区：[1]Internal Medicine,Hemet Global Medical Center,Hemet,CA 92543,United States [2]Department of Cardiology,Mclaren Macomb-Oakland/Michigan State University,Macomb,MI 48043,United States

出　　处：《World Journal of Cardiology》2023年第8期395-405,共11页世界心脏病学杂志（英文版）（电子版）

摘　　要：BACKGROUND Intravascular lithotripsy(IVL)is a novel technique increasingly used for plaque modification and endovascular revascularization in patients with severe calcification and peripheral artery disease.However,much of the available literature on IVL is focused on its use in coronary arteries,with relatively limited data on non-coronary artery use.AIM To analyze the safety and efficacy of current IVL use in non-coronary artery lesions,as reported in case reports and case series.METHODS We searched EMBASE,PubMed,and Reference Citation Analysis databases for case reports and case series on IVL use in peripheral artery disease.We then extracted variables of interest and calculated the mean and proportions of these variables.RESULTS We included 60 patients from 33 case reports/case series.Ninety-eight percent of the cases had IVL usage in only one blood vessel,while four had the IVL used in two vessels(2.0%),resulting in 64 Lesions treated with IVL.The mean age of the patients was 73.7(SD 10.9).IVL was successfully used in severe iliofemoral artery stenosis(51.6%),severe innominate,subclavian,and carotid artery stenosis(26.7%combined),and severe mesenteric vessel stenosis(9.4%).Additionally,IVL was successfully used in severe renal(7.8%)and aortic artery(4.7%)stenosis.There were complications in 12%of the cases,with dissection being the commonest.CONCLUSION IVL has successfully used in plaque modification and endovascular revascularization in severely calcified and challenging lesions in the iliofemoral,carotid,subclavian,aorta,renal,and mesenteric vessels.The most severe but transient complications were with IVL use in the aortic arch and neck arteries.

关 键 词：Intravascular lithotripsy Peripheral artery disease Non-coronary artery 

分 类 号：R654.2[医药卫生—外科学]