Shocking safely: Intravascular lithotripsy to under expanded interwoven stent

Calcified lesions pose formidable obstacles in managing patients with chronic limb-threatening ischemia. Calcification impedes stent expansion, a pivotal determinant in averting restenosis and stent thrombosis. While aggressive angioplasty may alleviate these obstacles, it often fails to achieve sat...

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Main Authors: Vanessa Irvine, MBBS, Edward Choke Tieng Chek, PhD, FRCS, Darius Aw Kang Lie, FRCS
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428725000772
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author Vanessa Irvine, MBBS
Edward Choke Tieng Chek, PhD, FRCS
Darius Aw Kang Lie, FRCS
author_facet Vanessa Irvine, MBBS
Edward Choke Tieng Chek, PhD, FRCS
Darius Aw Kang Lie, FRCS
author_sort Vanessa Irvine, MBBS
collection DOAJ
description Calcified lesions pose formidable obstacles in managing patients with chronic limb-threatening ischemia. Calcification impedes stent expansion, a pivotal determinant in averting restenosis and stent thrombosis. While aggressive angioplasty may alleviate these obstacles, it often fails to achieve satisfactory luminal augmentation. Intravascular lithotripsy, supported by its established safety and efficacy in coronary intervention cases series and registries, has emerged as a novel solution for persistent stent underexpansion. We adopted the concept and performed late poststent deployment intravascular lithotripsy in an underexpanded interwoven stent placed within the popliteal artery of a patient with critical limb-threatening ischemia, highlighting its potential as a transformative therapeutic option.
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series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-c2811d94092144b59eaa3867d3c8f1362025-08-20T03:08:33ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410179510.1016/j.jvscit.2025.101795Shocking safely: Intravascular lithotripsy to under expanded interwoven stentVanessa Irvine, MBBS0Edward Choke Tieng Chek, PhD, FRCS1Darius Aw Kang Lie, FRCS2Department of Vascular Surgery, Liverpool Hospital, Sydney, Australia; Correspondence: Vanessa Irvine, MBBS, Department of Vascular Surgery, Liverpool Hospital, 75 Elizabeth St, Liverpool, NSW 2170, AustraliaDepartment of Vascular Surgery, Northern Heart Hospital, Penang, MalaysiaDepartment of Vascular Surgery, Liverpool Hospital, Sydney, Australia; Department of Vascular Surgery, Seng Kang General Hospital, SingaporeCalcified lesions pose formidable obstacles in managing patients with chronic limb-threatening ischemia. Calcification impedes stent expansion, a pivotal determinant in averting restenosis and stent thrombosis. While aggressive angioplasty may alleviate these obstacles, it often fails to achieve satisfactory luminal augmentation. Intravascular lithotripsy, supported by its established safety and efficacy in coronary intervention cases series and registries, has emerged as a novel solution for persistent stent underexpansion. We adopted the concept and performed late poststent deployment intravascular lithotripsy in an underexpanded interwoven stent placed within the popliteal artery of a patient with critical limb-threatening ischemia, highlighting its potential as a transformative therapeutic option.http://www.sciencedirect.com/science/article/pii/S2468428725000772EndovascularLithotripsyStentingCalcification
spellingShingle Vanessa Irvine, MBBS
Edward Choke Tieng Chek, PhD, FRCS
Darius Aw Kang Lie, FRCS
Shocking safely: Intravascular lithotripsy to under expanded interwoven stent
Journal of Vascular Surgery Cases and Innovative Techniques
Endovascular
Lithotripsy
Stenting
Calcification
title Shocking safely: Intravascular lithotripsy to under expanded interwoven stent
title_full Shocking safely: Intravascular lithotripsy to under expanded interwoven stent
title_fullStr Shocking safely: Intravascular lithotripsy to under expanded interwoven stent
title_full_unstemmed Shocking safely: Intravascular lithotripsy to under expanded interwoven stent
title_short Shocking safely: Intravascular lithotripsy to under expanded interwoven stent
title_sort shocking safely intravascular lithotripsy to under expanded interwoven stent
topic Endovascular
Lithotripsy
Stenting
Calcification
url http://www.sciencedirect.com/science/article/pii/S2468428725000772
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AT dariusawkangliefrcs shockingsafelyintravascularlithotripsytounderexpandedinterwovenstent