Journal of Vascular and Endovascular Therapy

Intravascular Lithotripsy Assisted Carotid Stent Expansion

Carotid stenting has been demonstrated to effectively reduce the risk of stroke in appropriately selected patients. However, application of carotid artery stenting remains limited in the setting of heavily calcified disease. We present here three patients, who were treated with intravascular lithotripsy of the internal and common carotid arteries. All three patients recovered uneventfully and have demonstrated excellent stent expansion on surveillance imaging. Intravascular lithotripsy is an effective adjunct for enabling stent expansion in heavily calcified lesions and can be employed for treatment of high risk carotid lesions that would otherwise be poor endovascular candidates.

Author(s):

Veena Mehta1* and Mathew Wooster2

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