Shock and Awe: Successful Revascularization with Intravascular Lithotripsy in Recurrent ST-Elevation Myocardial Infarction Secondary to Stent Under-Expansion

Methodist Debakey Cardiovasc J. 2023 Aug 17;19(1):55-60. doi: 10.14797/mdcvj.1257. eCollection 2023.

Abstract

We report a case of recurrent ST-segment elevation myocardial infarction (STEMI) due to a previously implanted under-expanded stent with in-stent thrombosis refractory to traditional interventional techniques. We underscore the utility of bail-out shockwave intravascular lithotripsy to tackle previously under-expanded stents in this acute setting.

Keywords: ST-elevation myocardial infarction; calcified coronary artery; intravascular lithotripsy; under-expanded stent.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Lithotripsy* / adverse effects
  • ST Elevation Myocardial Infarction* / diagnostic imaging
  • ST Elevation Myocardial Infarction* / therapy
  • Stents