• Der Internist · Aug 2021

    Case Reports

    [Acute coronary lithotripsy in an 83-year-old man with syncope and acute coronary syndrome].

    • S Gozolits, U Biller, and M Morgenstern.
    • Medizinische Klinik I, Klinik für Kardiologie, RoMed Klinikum Rosenheim, Akademisches Lehrkrankenhaus der Ludwig-Maximilians-Universität München, Pettenkoferstr. 10, 83022, Rosenheim, Deutschland. stefan.gozolits@ro-med.de.
    • Internist (Berl). 2021 Aug 1; 62 (8): 867-870.

    BackgroundAn 83-year-old male presented with syncope and acute coronary syndrome. An electrocardiogram (ECG) suggested left main (LM) coronary artery stenosis; angiography confirmed a heavily calcified tight LM stenosis.Clinical CoursePercutaneous coronary intervention was performed using intravascular lithotripsy and implantation of drug eluting stents with an excellent angiographic result, resolution of symptoms and ECG changes.ConclusionIntravascular lithotripsy is a new and easily applicable method for heavily calcified coronary lesions. Cost-effectiveness and long-term results will define its future role.© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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