The Predictive Value of H2FPEF Score for Contrast Induced Nephropathy in Patients Undergoing Coronary Angiography | ||
| Benha Journal of Applied Sciences | ||
| Article 12, Volume 9, Issue 8, August 2024, Pages 91-100 PDF (743.76 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2024.314676.1477 | ||
| Authors | ||
| Mohamed Abdelhameed Elsharawy* 1; Al-Shimaa Mohamed Sabry2; El-Sayed Abd Elkhalek ElDarky3; Mahmoud Said Abd Al-Naby4 | ||
| 1Department of Cardiology, Faculty of Medicine, Benha University, Egypt | ||
| 2Assistant Professor of Cardiology, Faculty of Medicine, Benha University, Egypt | ||
| 3Professor of Cardiology, Faculty of Medicine - Benha University, Egypt | ||
| 4Lecturer of Cardiology, Faculty of Medicine, Benha University, Egypt | ||
| Abstract | ||
| Coronary calcification is a significant predictor of major adverse cardiac events (MACE) following percutaneous coronary intervention (PCI). This is largely due to the challenges it presents in device delivery, expansion, and apposition, which can predispose stent failure. Recently, intravascular lithotripsy (IVL) has emerged as a novel approach to modifying calcified coronary plaques, overcoming many of the limitations associated with conventional techniques such as non-compliant balloons, cutting and scoring balloons, and rotational/orbital atherectomy. This review discusses the growing body of evidence supporting the use of IVL as a frontline strategy for managing severely calcified coronary arteries prior to stenting. The review highlights the mechanism of action, clinical efficacy, and safety profile of IVL in the treatment of calcified lesions, comparing it to other available methods. Additionally, the review examines clinical outcomes associated with IVL, including its impact on stent expansion, procedural success, and reduction in adverse events. As the use of IVL becomes more widespread, its role in the management of calcified coronary arteries continues to evolve, offering promising results and shaping future guidelines for PCI. | ||
| Keywords | ||
| intravascular lithotripsy (IVL); percutaneous coronary intervention (PCI); calcified coronary | ||
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