{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:42:57Z","timestamp":1780447377470,"version":"3.54.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T00:00:00Z","timestamp":1607904000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Management of heavily calcified coronary arteries is still a major challenge in interventional cardiology. Inadequate stent expansion in calcific lesions is the single most important predictor of stent thrombosis and in-stent restenosis. Rotational atherectomy (RA) is an important tool to modify the calcium burden but is associated with limitations and requires specific skills. Intravascular lithotripsy (IVL) is a novel technique to treat calcified stenotic lesions and has been proposed as an alternative to RA with promising results.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report a case of a patient with severely calcified right coronary artery stenosis successfully treated with combination of RA and IVL.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>In this case, we demonstrate that the RA and IVL are complementary strategies, not sufficient on their own and not alternative to each other.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa456","type":"journal-article","created":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T06:33:54Z","timestamp":1607927634000},"source":"Crossref","is-referenced-by-count":7,"title":["Changing paradigm for treatment of heavily calcified coronary artery disease. A complementary role of rotational atherectomy and intravascular lithotripsy with shockwave balloon: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1478-0629","authenticated-orcid":false,"given":"Shana","family":"Tehrani","sequence":"first","affiliation":[{"name":"Frimley Health NHS Foundation Trust, Camberley, Surrey GU16 7UJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhir","family":"Rathore","sequence":"additional","affiliation":[{"name":"Frimley Health NHS Foundation Trust, Camberley, Surrey GU16 7UJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod","family":"Achan","sequence":"additional","affiliation":[{"name":"Frimley Health NHS Foundation Trust, Camberley, Surrey GU16 7UJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,12,13]]},"reference":[{"key":"2021062103182427400_ytaa456-B1","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.1136\/heartjnl-2013-305180","article-title":"Prognostic implications of coronary calcification in patients with obstructive coronary artery disease treated by percutaneous coronary intervention: a patient-level pooled analysis of 7 contemporary stent trials","volume":"100","author":"Bourantas","year":"2014","journal-title":"Heart"},{"key":"2021062103182427400_ytaa456-B2","doi-asserted-by":"crossref","DOI":"10.1002\/ccd.28287","article-title":"Coronary lithotripsy for failed rotational atherectomy, cutting balloon, scoring balloon, and ultra-high-pressure non-compliant balloon","volume":"94","author":"Venuti","year":"2019","journal-title":"Catheter Cardiovasc Interv"},{"key":"2021062103182427400_ytaa456-B3","doi-asserted-by":"crossref","first-page":"174","DOI":"10.15420\/icr.2019.18.R1","article-title":"The coronary intravascular lithotripsy system","volume":"14","author":"Forero","year":"2019","journal-title":"Interv Cardiol Rev"},{"key":"2021062103182427400_ytaa456-B4","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1161\/CIRCULATIONAHA.118.036531","article-title":"Feasibility of shockwave coronary intravascular lithotripsy for the treatment of calcified coronary stenoses","volume":"139","author":"Brinton","year":"2019","journal-title":"Circulation"},{"key":"2021062103182427400_ytaa456-B5","first-page":"46","article-title":"Shockwave intravascular lithotripsy for calcified coronary lesions: First real-world experience","volume":"31","author":"Wong","year":"2019","journal-title":"J Invasive Cardiol"},{"key":"2021062103182427400_ytaa456-B6","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.jcmg.2017.05.012","article-title":"Optical coherence tomography characterization of coronary lithoplasty for treatment of calcified lesions: first description","volume":"10","author":"Ali","year":"2017","journal-title":"JACC Cardiovasc Imaging"},{"key":"2021062103182427400_ytaa456-B7","article-title":"Intravascular lithotripsy and Impella support to assist complex LM angioplasty","author":"Ristalli","year":"2019","journal-title":"Cardiovasc Revasc Med"},{"key":"2021062103182427400_ytaa456-B8","doi-asserted-by":"crossref","first-page":"1897","DOI":"10.1016\/j.jacc.2010.07.028","article-title":"In-stent restenosis in the drug-eluting stent era","volume":"56","author":"Dangas","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"2021062103182427400_ytaa456-B9","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1002\/ccd.27943","article-title":"Primary outcomes and mechanism of action of intravascular lithotripsy in calcified, femoropopliteal lesions: results of Disrupt PAD II","volume":"93","author":"Brodmann","year":"2019","journal-title":"Catheter Cardiovasc Interv"},{"key":"2021062103182427400_ytaa456-B10","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.119.008434","article-title":"Safety and effectiveness of coronary intravascular lithotripsy for treatment of severely calcified coronary stenoses: the Disrupt CAD II Study","author":"Ali","year":"2019","journal-title":"Circ Cardiovasc Interv"}],"container-title":["European Heart Journal - 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