Shockwave C2 Aero Helps Facilitate Successful Revascularization of Complex Left Main Bifurcation — Dr. Yousif Ahmad and Dr. Brett Wanamaker
Curious how Shockwave C2 Aero performs in tough, calcified lesions? In this case review, Dr. Yousif Ahmad and Dr. Brett Wanamaker take you step‑by‑step through an initial Rotashock procedure, demonstrating how Shockwave C2 Aero’s enhanced deliverability and crossability help safely increase vessel compliance before stenting.
Patient Overview: Complex Calcified Left Main Bifurcation
An 85-year-old female patient presented with worsening angina and dyspnea. Angiography showed severely calcified distal left main bifurcation disease, impacting both the left anterior descending artery (LAD) and diagonal branches.
Deploying Shockwave C2 Aero Post-Atherectomy to Increase Compliance Before Stenting
Dr. Ahmad used atherectomy in the LAD and circumflex, resulting in a slow flow complication in the LAD that was resolved with bailout stenting. He followed with a 4.0 mm Shockwave C2 Aero catheter to achieve complete calcium modification. Dr. Ahmad first delivered 60 pulses in the left circumflex artery (LCX), then advanced the catheter easily into the proximal LAD lesion to deliver the remaining 60 pulses. Finally, he placed a stent in the left main bifurcation.
Post-Case Reflection: Next-Gen Capabilities Could Enable Shockwave IVL-First Strategy
Dr. Ahmad and Dr. Wanamaker discuss how Shockwave C2 Aero’s upgrades — increased deliverability, crossability and re-wrap ability — in conjunction with Shockwave’s proven safety and efficacy have the potential to shift workflows to a Shockwave IVL-first approach.
Watch the full case review to learn more about Shockwave C2 Aero’s capabilities in complex coronary interventions.
Dr. Ahmad and Dr. Wanamaker are paid consultants of Shockwave Medical.
Shockwave IVL: In the U.S.: Rx only. Prior to use, please reference the Important Safety Information for more information on indications, contraindications, warnings, precautions and adverse events.
