CASE REPORT  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2020 December;61(6):759-62

DOI: 10.23736/S0021-9509.20.11421-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

The utilization of intravascular lithotripsy to facilitate transcarotid artery revascularization

Rafael D. MALGOR ¹ ✉, Kevin ROGERS ², Emily A. MALGOR ¹, Mohammed AL-MUSAWI ¹, Sammy SIADA ¹, Donald L. JACOBS ¹

¹ Division of Vascular and Endovascular Surgery, University of Colorado Anschutz Medical Center, Aurora, CO, USA; ² Division of Cardiology, University of Colorado Anschutz Medical Center, Aurora, CO, USA

Carotid artery disease and stroke account for the second cause of mortality in worldwide. Recently, transcarotid artery stenting (TCAR) has emerged as a treatment modality that carries a very low stroke rate. However, there are limitations to TCAR, such as heavily calcified plaques that might preclude optimal stent expansion. We describe a successful transcarotid artery stenting with flow reversal performed in an independent and active nonagenarian with focal, circumferentially calcified carotid artery plaque, for which intravascular lithotripsy was utilized.

KEY WORDS: Carotid arteries; Stents; Endovascular procedures; Stroke