Intravascular Ultrasound Images of Catastrophic Blow-out Coronary Perforation due to High Pressure Balloon Dilation After Intravascular Lithotripsy

Tetsuya Nomura; Kenshi Ono; Michitaka Kitamura; Shiori Yoshida; Keisuke Shoji; Naotoshi Wada

doi:10.7793/jcad.30.24-00011

Imaging Case Report

Intravascular Ultrasound Images of Catastrophic Blow-out Coronary Perforation due to High Pressure Balloon Dilation After Intravascular Lithotripsy

Tetsuya Nomura, Kenshi Ono, Michitaka Kitamura, Shiori Yoshida, Keisuke Shoji, Naotoshi Wada

Author information

Keywords: coronary perforation, intravascular lithotripsy, intravascular ultrasound, percutaneous coronary intervention

JOURNAL OPEN ACCESS
Supplementary material

2024 Volume 30 Issue 3 Pages 118-119

DOI https://doi.org/10.7793/jcad.30.24-00011

Browse “Advance online publication” version

Details

Abstract

We report a case of catastrophic Ellis type III coronary perforation caused by high-pressure balloon dilation after intravascular lithotripsy (IVL) of a heavily calcified coronary artery. We observed valuable intravascular ultrasound images in this situation, which suggested that high-pressure balloon dilation after IVL might be suboptimal because IVL-induced deeply cracked calcification can exhibit unexpected reactions.

Corresponding author

Register with J-STAGE for free!