A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention

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2024年4月23日

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Lars Jakobsen,
Evald Høj Christiansen,
Troels Thim

摘要

Background

Shockwave intravascular lithotripsy (S-IVL) is widely used during percutaneous coronary intervention (PCI) of calcified coronary arteries. Ventricular capture beats during S-IVL are common but arrhythmias are rare.

Case presentation

A 75-year-old woman was scheduled for PCI to a short, heavily calcified chronic total occlusion of the right coronary artery. After wiring of the occlusion, S-IVL was used to predilated the calcified stenosis. During S-IVL, the patient developed ventricular fibrillation twice.

Conclusion

To our knowledge, this is only the second reported case of VF during S-IVL. Although very rare, it is important to be aware of this potential and serious complication.