Calcium Challenge - Tackling Rings, Nodules and Plates: How Can We Get More from Intravascular Lithotripsy Technology?
| Title: | Calcium Challenge - Tackling Rings, Nodules and Plates: How Can We Get More from Intravascular Lithotripsy Technology? |
|---|---|
| Authors: | Choudhury A; Department of Cardiology, Morriston Cardiac Centre Swansea, Wales, UK.; Protty MB; Department of Cardiology, University Hospital of Wales Cardiff, Wales, UK.; Hussain H; Department of Cardiology, Grange University Hospital Cwmbran, Wales, UK.; Basavarajaiah S; Department of Cardiology, University Hospitals Dorset NHS Trust Bournemouth, UK.; O'Kane P; Department of Cardiology, Heartlands Hospital Birmingham, UK.; Hailan A; Department of Cardiology, Morriston Cardiac Centre Swansea, Wales, UK. |
| Source: | Interventional cardiology (London, England) [Interv Cardiol] 2025 Nov 18; Vol. 20, pp. e30. Date of Electronic Publication: 2025 Nov 18 (Print Publication: 2025). |
| Publication Type: | Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: Radcliffe Cardiology Country of Publication: England NLM ID: 101559687 Publication Model: eCollection Cited Medium: Internet ISSN: 1756-1485 (Electronic) Linking ISSN: 17561485 NLM ISO Abbreviation: Interv Cardiol Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: : Buckinghamshire : Radcliffe Cardiology; Original Publication: London : Touch Briefings, [2007]- |
| Abstract: | Calcific coronary artery disease presents unique challenges in achieving optimal stent deployment, which is crucial for long-term procedural success. Intravascular lithotripsy (IVL), introduced to the UK in 2018, has revolutionised the treatment of calcific lesions through its simplicity of use and ability to modify calcium safely and effectively. This expert opinion explores the evolution of IVL technology, its mechanism of action, and suggested refinement in its application based on the evidence and experience of the authors. Emphasis is placed on optimising IVL usage across various calcific scenarios, including concentric, nodular and eccentric calcium, and large bifurcations. Lessons from peripheral vascular studies, such as balloon oversizing strategies, are discussed to enhance the optimal usage of IVL in coronary interventions. By proposing new iterations in IVL usage, and emphasising its safety and efficacy, this article aims to refine the interventional community's approach to tackling calcific coronary disease with IVL.; (Copyright © The Author(s), 2025. Published by Radcliffe Group Ltd.) |
| Competing Interests: | Disclosure: PO has received speaker fees and travel support from Boston and Shockwave, and is the editor-in-chief of Interventional Cardiology; this did not influence peer review. SB has received an unrestricted educational grant from Shockwave. All other authors have no conflicts of interest to declare. |
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| Contributed Indexing: | Keywords: Calcific coronary artery disease; calcium modification; intravascular lithotripsy; intravascular lithotripsy catheter; stent optimisation |
| Entry Date(s): | Date Created: 20251205 Date Completed: 20251205 Latest Revision: 20251207 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12673490 |
| DOI: | 10.15420/icr.2025.09 |
| PMID: | 41346357 |
| Database: | MEDLINE |
Journal Article; Review