Abstract

AGUILAR-GARAY, Víctor A. et al. Intravascular lithotripsy in the management of peripheral arterial disease. Literature review and case report. Rev. mex. angiol. [online]. 2023, vol.51, n.3, pp.93-100.  Epub Sep 25, 2023. ISSN 2696-130X.  https://doi.org/10.24875/rma.22000034.

Peripheral arterial disease (PAD) involves a wide variety of pathologies that affects the arterial circulation, being the atherosclerotic occlusive disease the main cause. In patients in more advanced stages of PAD, revascularization of the affected area is considered a treatment to follow medical management. As an option in endovascular management, we have the preparation of the vessel for the different degrees of calcification. Intravascular lithotripsy (IVL), based on extracorporeal lithotripsy for renal lithiasis, is a recent addition to the arsenal available for useful endovascular treatment, improving luminal distensibility and facilitate endovascular treatment, it has shown a significant reduction in the degree of residual stenosis (≤ 30%), a lower rate of complications (1.4 vs. 6.8% in angioplasty) and less need for the use of medicated angioplasty or stent to keep the treated vessel patent (LIV 5.2 and 4.6% compared to 17 and 18.3%). It is presented the case of a patient with TASC C PAD who underwent IVL, with good technical and clinical success.

Keywords : Intravascular lithotripsy; Peripheral arterial disease; Angioplasty.