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.
| Original language | English |
|---|---|
| Article number | 219 |
| Journal | BMC Cardiovascular Disorders |
| Volume | 24 |
| Issue | 1 |
| Number of pages | 5 |
| ISSN | 1471-2261 |
| DOIs | |
| Publication status | Published - Apr 2024 |
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