Management of Calcification: Rational and Technical Considerations for Intravascular Lithotripsy

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Techniques in Vascular and Interventional Radiology Pub Date : 2022-09-01 DOI:10.1016/j.tvir.2022.100841

Arian Nasiri MD , Hyunjean Kim MD , Varshana Gurusamy MD , James F. Benenati MD, FSIR

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引用次数: 2

Abstract

Arterial calcification (AC) is a common complication among patients with peripheral arterial disease (PAD). AC presents various challenges to PAD treatment including an increased likelihood of vessel rupture and dissection, and by acting as a physical barrier to drug delivery by angioplasty balloons. Intravascular lithotripsy (IVL) is a novel intervention that specifically targets AC by emitting sonic pressure waves that introduce microfractures in target calcified lesions to increase arterial compliance. Preliminary data has demonstrated the safety and efficacy of IVL in PAD treatment. The present article provides a technical overview of S-IVL, as well as a case series of the treatment of AC in common iliac, common femoral, superficial femoral, aortoiliac, and peroneal arterial lesions. Each case resulted in marked improvement of luminal patency, exhibiting the efficacy IVL.

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钙化的处理:血管内碎石术的理性和技术考虑

动脉钙化(AC)是外周动脉疾病(PAD)患者常见的并发症。AC给PAD治疗带来了各种挑战，包括血管破裂和剥离的可能性增加，以及血管成形术气球对药物输送的物理障碍。血管内碎石术(IVL)是一种新的干预手段，通过发射声波压力波，在目标钙化病变处引入微骨折，以增加动脉顺应性。初步数据显示IVL治疗PAD的安全性和有效性。本文提供了S-IVL的技术概述，以及AC治疗髂总动脉、股总动脉、股浅动脉、髂主动脉和腓动脉病变的病例系列。所有病例均明显改善腔内通畅，显示出IVL的疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.