Modified leopard‐crawl technique using intravascular lithotripsy balloon in calcified coronary lesions

Abstract

AbstractIntravascular lithotripsy (IVL) has emerged as a novel therapy for the treatment of coronary calcification. Numerous studies have reported the safety and efficacy of IVL in calcified coronary lesions, while IVL balloon‐uncrossable calcified coronary lesions are sometimes encountered in clinical practice. This case report represents a novel technique called “modified leopard‐crawl” to advance the IVL balloon antegradely by creating significant calcium cracking forward when the enhanced stent visualization system reveals that the distal emitter seems adjacent to calcification. This technique might be a valuable alternative when conventional procedures fail and has the potential to enhance the clinical applicability of IVL in daily practice.