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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Coronary Artery Disease
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1470785
This article is part of the Research Topic Novel Techniques for Modifying Calcified Coronary Plaques View all articles

Case report: Drug-coated balloon after intravascular lithotripsy for the treatment of severely calcified de novo coronary artery lesion

Provisionally accepted
Toru Misawa Toru Misawa 1*Tetsumin Lee Tetsumin Lee 1Takashi Ashikaga Takashi Ashikaga 1Toshihiro Nozato Toshihiro Nozato 1Yasutoshi Nagata Yasutoshi Nagata 1Masakazu Kaneko Masakazu Kaneko 1Ryoichi Miyazaki Ryoichi Miyazaki 1Masashi Nagase Masashi Nagase 1Tomoki Horie Tomoki Horie 1Yuki Odanaka Yuki Odanaka 1Daigo Kachi Daigo Kachi 1Mao Terui Mao Terui 1Maki Ohira Maki Ohira 1Kazuki Matsuda Kazuki Matsuda 1Naoya Kikkoji Naoya Kikkoji 1Ayaka Koido Ayaka Koido 1Megumi Kou Megumi Kou 1Risako Baba Risako Baba 1Akira Takakuma Akira Takakuma 1Taishi Yonetsu Taishi Yonetsu 2Tetsuo Sasano Tetsuo Sasano 2
  • 1 Musashino Red Cross Hospital, Tokyo, Japan
  • 2 Tokyo Medical and Dental University, Tokyo, Japan

The final, formatted version of the article will be published soon.

    In patients undergoing percutaneous coronary intervention (PCI), severely calcified lesions remain a great challenge even in the drug-eluting stent (DES) era. Intravascular lithotripsy (IVL) is effective for modification of severely calcified lesions prior to DES implantation. However, the efficacy of PCI with drug-coated balloon (DCB) following IVL has not been fully elucidated. Here, we present a case of severely calcified de novo coronary artery lesion successfully underwent PCI with DCB following IVL under optical coherence tomography (OCT) guidance as well as mid-term follow-up OCT. DCB following IVL might be a potential revascularization strategy for patients with heavily calcified de novo coronary artery lesions.

    Keywords: severely calcified lesions, intravascular lithotripsy, Drug-coated balloon, Percutaneous Coronary Intervention, Optical Coherence Tomography

    Received: 26 Jul 2024; Accepted: 01 Oct 2024.

    Copyright: © 2024 Misawa, Lee, Ashikaga, Nozato, Nagata, Kaneko, Miyazaki, Nagase, Horie, Odanaka, Kachi, Terui, Ohira, Matsuda, Kikkoji, Koido, Kou, Baba, Takakuma, Yonetsu and Sasano. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Toru Misawa, Musashino Red Cross Hospital, Tokyo, Japan

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.