Published in:
Open Access 01-12-2024 | Ventricular Fibrillation | Case Report
A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention
Published in: BMC Cardiovascular Disorders | Issue 1/2024
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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.