One case of unprotected left main artery was treated by percutaneous coronary intraluminal shock wave balloon catheter angioplasty
10.3969/j.issn.1004-8812.2025.07.006
- VernacularTitle:应用经皮冠状动脉腔内冲击波球囊导管成形术处理无保护左主干1例
- Author:
Hao JIANG
1
;
Zhi WANG
1
;
Zhen-tao SHI
1
;
Min SUN
1
;
Shi-jie FANG
1
;
Qiang TANG
1
Author Information
1. 北京大学首钢医院心血管内科,北京 100144
- Publication Type:Journal Article
- Keywords:
Coronary calcification;
Unprotected left main lesion;
Intravascular lithotripsy;
Ischemic preconditioning
- From:
Chinese Journal of Interventional Cardiology
2025;33(7):403-407
- CountryChina
- Language:Chinese
-
Abstract:
The lesion of the left main coronary artery(LM)itself is one of the challenges of interventional therapy.If the lesion is combined with calcification,the interventional therapy is difficult to operate and extremely risky.This case report presents a 77-year-old elderly male patient.Coronary angiography(CAG)indicated severe stenosis of the LM-left anterior descending(LAD)accompanied by severe calcified bifurcation lesions.After pre-dilation,percutaneous coronary intraluminal shock wave balloon catheter angioplasty(IVL)was applied for treatment.Before IVL treatment,the LM-LAD lesion was subjected to ischemic preconditioning by using an appropriate balloon to fix the pressure and gradually upgrading the balloon dilation time.Later,a Cross-over procedure was performed to implant a single stent,achieving satisfactory results.Among them,the ischemic preconditioning methods for LM lesions can provide reference significance for clinicians.
