{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:31:56Z","timestamp":1772166716229,"version":"3.50.1"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intravascular lithotripsy (IVL) is an emerging technique for modifying heavily calcified arterial lesions, with primary application in peripheral arteries. We report the use of IVL for lesion preparation prior to stenting in a patient with severely calcified superior mesenteric artery (SMA) stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 66-year-old man with type I adenocarcinoma of the esophagogastric junction (AEG Type I) and neoadjuvant FLOT chemotherapy was scheduled for Ivor Lewis esophagectomy. Preoperative CT angiography (CTA) revealed a high-grade ostial SMA stenosis due to extensive atherosclerotic calcification. To mitigate the risk of postoperative mesenteric hypoperfusion, percutaneous endovascular revascularization was performed. Following initial predilatation, IVL using a Shockwave 5.5\u2009\u00d7\u200960\u00a0mm balloon catheter was employed for lesion preparation. Subsequently, an 8.0\u2009\u00d7\u200924\u00a0mm balloon-expandable stent was successfully deployed with low-grade residual stenosis and no complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case demonstrates that IVL represents a feasible and effective adjunct in the management of severely calcified visceral arterial lesions. It facilitates adequate lesion preparation and enables full stent expansion, even when the IVL balloon diameter is notably smaller than the stent diameter. This potentially represents a less traumatic approach to the vessel than alternative techniques. IVL may therefore be considered a therapeutic option in selected patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s42155-025-00622-2","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T04:33:19Z","timestamp":1767760399000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pre-stenting lesion preparation using shockwave intravascular lithotripsy in severely calcified superior mesenteric artery stenosis"],"prefix":"10.1186","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1068-8477","authenticated-orcid":false,"given":"Robert","family":"Terzis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert Wawer Matos","family":"Reimer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Maintz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erkan","family":"Celik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"issue":"1","key":"622_CR1","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/j.jvs.2004.03.022","volume":"40","author":"KJ Hansen","year":"2004","unstructured":"Hansen KJ, et al. Mesenteric artery disease in the elderly. J Vasc Surg. 2004;40(1):45\u201352.","journal-title":"J Vasc Surg"},{"issue":"1s","key":"622_CR2","doi-asserted-by":"publisher","first-page":"87s","DOI":"10.1016\/j.jvs.2020.10.029","volume":"73","author":"TS Huber","year":"2021","unstructured":"Huber TS, et al. Chronic mesenteric ischemia: clinical practice guidelines from the Society for Vascular Surgery. J Vasc Surg. 2021;73(1s):87s\u2013115s.","journal-title":"J Vasc Surg"},{"issue":"5","key":"622_CR3","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.ejvs.2015.01.004","volume":"49","author":"A Lejay","year":"2015","unstructured":"Lejay A, et al. Chronic mesenteric ischemia: 20 year experience of open surgical treatment. Eur J Vasc Endovasc Surg. 2015;49(5):587\u201392.","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"4","key":"622_CR4","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1177\/2050640620916681","volume":"8","author":"LG Terlouw","year":"2020","unstructured":"Terlouw LG, et al. European guidelines on chronic mesenteric ischaemia - joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia. United Eur Gastroenterol J. 2020;8(4):371\u201395.","journal-title":"United Eur Gastroenterol J"},{"key":"622_CR5","doi-asserted-by":"publisher","unstructured":"Shammas NW, Mangalmurti S, Bernardo NL, et al. Intravascular Lithotripsy for Treatment of Severely Calcified Common Femoral Artery Disease: Results From the Disrupt PAD III Observational Study.\u00a0J Endovasc Ther. 2024;0(0). https:\/\/doi.org\/10.1177\/15266028241255622.","DOI":"10.1177\/15266028241255622"},{"issue":"3","key":"622_CR6","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1177\/15266028221125157","volume":"31","author":"P Spath","year":"2024","unstructured":"Spath P, et al. Use of shockwave intravascular lithotripsy in recanalization of calcified visceral and renal arteries: a case report and update of the literature. J Endovasc Ther. 2024;31(3):485\u201390.","journal-title":"J Endovasc Ther"},{"issue":"5","key":"622_CR7","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1016\/j.jvs.2009.12.064","volume":"51","author":"AS van Petersen","year":"2010","unstructured":"van Petersen AS, et al. Open or percutaneous revascularization for chronic splanchnic syndrome. J Vasc Surg. 2010;51(5):1309\u201316.","journal-title":"J Vasc Surg"},{"issue":"7","key":"622_CR8","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1016\/j.jacc.2017.06.022","volume":"70","author":"M Brodmann","year":"2017","unstructured":"Brodmann M, et al. Safety and performance of lithoplasty for treatment of calcified peripheral artery lesions. J Am Coll Cardiol. 2017;70(7):908\u201310.","journal-title":"J Am Coll Cardiol"},{"issue":"7","key":"622_CR9","doi-asserted-by":"publisher","first-page":"907","DOI":"10.1016\/j.jacc.2017.06.023","volume":"70","author":"WS Beattie","year":"2017","unstructured":"Beattie WS, et al. Survival after isolated post-operative troponin elevation. J Am Coll Cardiol. 2017;70(7):907\u20138.","journal-title":"J Am Coll Cardiol"},{"issue":"6","key":"622_CR10","doi-asserted-by":"publisher","first-page":"834","DOI":"10.1161\/CIRCULATIONAHA.118.036531","volume":"139","author":"TJ Brinton","year":"2019","unstructured":"Brinton TJ, et al. Feasibility of shockwave coronary intravascular lithotripsy for the treatment of calcified coronary stenoses. Circulation. 2019;139(6):834\u20136.","journal-title":"Circulation"},{"issue":"3","key":"622_CR11","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1177\/1526602820914598","volume":"27","author":"G Adams","year":"2020","unstructured":"Adams G, et al. Intravascular lithotripsy for treatment of calcified lower extremity arterial stenosis: initial analysis of the Disrupt PAD III study. 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