Intravascular lithotripsy (IVL) guided stenting in a calcified critical carotid artery stenosis

Abstract

Intravascular lithotripsy (IVL) use in carotid artery stenting helps in debulking calcium. Vascular calcium remains a major predictor of failure of interventional procedure. There is fear of hemodynamic worsening and distal embolization with aggressive predilatation which can be prevented by use of IVL. Although it is an off-label use, we hereby report the first case of IVL use in carotid artery from India.