Multiple Lesions Treated Down the RCA Despite Delivery Issues With Pre-Dilation Devices

Case submitted by Jonathan Hill, King’s College

Summary: Multi-lesion right coronary artery (RCA); couldn’t advance guideliner to distal lesion despite predilation; advanced 3.5 mm Shockwave IVL catheter as far as possible (1); delivered one cycle (10 pulses) and vessel opened; pulled back to the ostium (2) and vessel opened after one cycle (10 pulses); advanced to distal lesion (3) and vessel opened after one cycle (10 pulses); easily delivered 80 mm of drug-eluting stent (DES).