Intravascular Lithotripsy-Assisted Percutaneous Coronary Intervention of Vein Graft In-Stent Calcified Restenosis

• DOI: 10.1016/j.jaccas.2025.103393
• Publication Date: 2025-04-05T01:43:46Z
• Authors: Florence Mouy; Ahmed Elsherif; Shahid Aziz; Amardeep Dastidar
• Keywords: Intravascular Ultrasound

The patency of saphenous vein grafts is poor compared with native and arterial bypass grafts. Graft failures are often managed percutaneous coronary intervention (PCI) because the higher risks undergoing redo artery graft surgery. In addition, PCI to has a high incidence stent failure but still sometimes required, especially in refractory angina similar our case. We demonstrate safety feasibility use intravascular lithotripsy as an adjunct for severe calcified in-stent restenosis graft. Our case also highlighted importance imaging complex high-risk indicated achieve best results.