A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention

Lars Jakobsen; Evald Høj Christiansen; Troels Thim

doi:10.1186/s12872-024-03894-z

A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention

Lars Jakobsen^*, Evald Høj Christiansen, Troels Thim

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin - Hjertesygdomme

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

Abstract

BACKGROUND: Shockwave intravascular lithotripsy (S-IVL) is widely used during percutaneous coronary intervention (PCI) of calcified coronary arteries. Ventricular capture beats during S-IVL are common but arrhythmias are rare.

CASE PRESENTATION: A 75-year-old woman was scheduled for PCI to a short, heavily calcified chronic total occlusion of the right coronary artery. After wiring of the occlusion, S-IVL was used to predilated the calcified stenosis. During S-IVL, the patient developed ventricular fibrillation twice.

CONCLUSION: To our knowledge, this is only the second reported case of VF during S-IVL. Although very rare, it is important to be aware of this potential and serious complication.

Originalsprog	Engelsk
Artikelnummer	219
Tidsskrift	BMC Cardiovascular Disorders
Vol/bind	24
Nummer	1
Antal sider	5
ISSN	1471-2261
DOI	https://doi.org/10.1186/s12872-024-03894-z
Status	Udgivet - apr. 2024

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10.1186/s12872-024-03894-zLicens: CC BY

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title = "A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention",

abstract = "BACKGROUND: Shockwave intravascular lithotripsy (S-IVL) is widely used during percutaneous coronary intervention (PCI) of calcified coronary arteries. Ventricular capture beats during S-IVL are common but arrhythmias are rare.CASE PRESENTATION: A 75-year-old woman was scheduled for PCI to a short, heavily calcified chronic total occlusion of the right coronary artery. After wiring of the occlusion, S-IVL was used to predilated the calcified stenosis. During S-IVL, the patient developed ventricular fibrillation twice.CONCLUSION: To our knowledge, this is only the second reported case of VF during S-IVL. Although very rare, it is important to be aware of this potential and serious complication.",

keywords = "Humans, Aged, Female, Ventricular Fibrillation/etiology, Lithotripsy/adverse effects, Percutaneous Coronary Intervention/adverse effects, Treatment Outcome, Vascular Calcification/diagnostic imaging, Coronary Occlusion/diagnostic imaging, Coronary Angiography, Percutaneous coronary intervention, Ventricular fibrillation, Complication",

author = "Lars Jakobsen and Christiansen, {Evald H{\o}j} and Troels Thim",

year = "2024",

month = apr,

doi = "10.1186/s12872-024-03894-z",

language = "English",

volume = "24",

journal = "BMC Cardiovascular Disorders",

issn = "1471-2261",

publisher = "BioMed Central Ltd.",

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A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention. / Jakobsen, Lars ; Christiansen, Evald Høj ; Thim, Troels.
I: BMC Cardiovascular Disorders, Bind 24, Nr. 1, 219, 04.2024.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention

AU - Jakobsen, Lars

AU - Christiansen, Evald Høj

AU - Thim, Troels

PY - 2024/4

Y1 - 2024/4

N2 - BACKGROUND: Shockwave intravascular lithotripsy (S-IVL) is widely used during percutaneous coronary intervention (PCI) of calcified coronary arteries. Ventricular capture beats during S-IVL are common but arrhythmias are rare.CASE PRESENTATION: A 75-year-old woman was scheduled for PCI to a short, heavily calcified chronic total occlusion of the right coronary artery. After wiring of the occlusion, S-IVL was used to predilated the calcified stenosis. During S-IVL, the patient developed ventricular fibrillation twice.CONCLUSION: To our knowledge, this is only the second reported case of VF during S-IVL. Although very rare, it is important to be aware of this potential and serious complication.

AB - BACKGROUND: Shockwave intravascular lithotripsy (S-IVL) is widely used during percutaneous coronary intervention (PCI) of calcified coronary arteries. Ventricular capture beats during S-IVL are common but arrhythmias are rare.CASE PRESENTATION: A 75-year-old woman was scheduled for PCI to a short, heavily calcified chronic total occlusion of the right coronary artery. After wiring of the occlusion, S-IVL was used to predilated the calcified stenosis. During S-IVL, the patient developed ventricular fibrillation twice.CONCLUSION: To our knowledge, this is only the second reported case of VF during S-IVL. Although very rare, it is important to be aware of this potential and serious complication.

KW - Humans

KW - Aged

KW - Female

KW - Ventricular Fibrillation/etiology

KW - Lithotripsy/adverse effects

KW - Percutaneous Coronary Intervention/adverse effects

KW - Treatment Outcome

KW - Vascular Calcification/diagnostic imaging

KW - Coronary Occlusion/diagnostic imaging

KW - Coronary Angiography

KW - Percutaneous coronary intervention

KW - Ventricular fibrillation

KW - Complication

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U2 - 10.1186/s12872-024-03894-z

DO - 10.1186/s12872-024-03894-z

M3 - Journal article

C2 - 38654211

SN - 1471-2261

VL - 24

JO - BMC Cardiovascular Disorders

JF - BMC Cardiovascular Disorders

IS - 1

M1 - 219

ER -

A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention

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