1. Cracking the Plaque With Coronary Lithotripsy: Mechanistic Insights From Optical Coherence Tomography

    Cracking the Plaque With Coronary Lithotripsy: Mechanistic Insights From Optical Coherence Tomography

    A 38-year-old male underwent successful recanalization of a chronic total occlusion (CTO) in a bare-metal stented segment of the mid right coronary artery (RCA) via retrograde approach. However, the in-stent restenotic lesion was undilatable despite pressure up to 35 atm with non-compliant (NC) OPN balloons (SIS Medical AG). The patient was discharged with plans for a future attempt. Six months later, coronary angiography revealed patency of the RCA with residual severe in-stent restenosis. Predilation with a 2.5 x 15 mm OPN NC balloon up to 35 atm confirmed the undilatable restenotic lesion with dog-boning effect. Therefore, coronary lithoplasty with ...

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