PMC8747833_01
A-F. Left column: Left anterior oblique view of the right coronary artery (RCA); Right column: Right anterior oblique view of the RCA; notice long segments of stent under-expansion (yellow circles); Middle row: Restoration of Thrombolysis in Myocardial Infarction flow 2 after balloon pre-dilatation and intravascular lithotripsy; Bottom row: Final result after implantation of 3 Firehawk  rapamycin target eluting coronary stents.
cardj-28-6-991f1.jpg
PMC8747833_02_cardj-28-6-991f1.jpg
f1-cardj-28-6-991
As expansion of a 3.5 mm non-compliant balloon was suboptimal but the lesion could be crossed, intravascular lithotripsy was used instead of rotational atherectomy, facilitating stent deployment (Fig. 1C, D). Therefore, 80 impulses were administered to the proximal and mid RCA upon inflation of the 3.5 x 12 mm Shockwave balloon, followed by implantation of 3 Firehawk  rapamycin target eluting coronary stents, ranging in diameter from 2.75 mm to 3.5 mm, as previously everolimus and zotarolimus eluting stents were used (Fig. 1E, F).
PMC8747833_02
A-F. Left column: Left anterior oblique view of the right coronary artery (RCA); Right column: Right anterior oblique view of the RCA; notice long segments of stent under-expansion (yellow circles); Middle row: Restoration of Thrombolysis in Myocardial Infarction flow 2 after balloon pre-dilatation and intravascular lithotripsy; Bottom row: Final result after implantation of 3 Firehawk  rapamycin target eluting coronary stents.
cardj-28-6-991f1.jpg
PMC8747833_02_cardj-28-6-991f1.jpg
f1-cardj-28-6-991
As expansion of a 3.5 mm non-compliant balloon was suboptimal but the lesion could be crossed, intravascular lithotripsy was used instead of rotational atherectomy, facilitating stent deployment (Fig. 1C, D). Therefore, 80 impulses were administered to the proximal and mid RCA upon inflation of the 3.5 x 12 mm Shockwave balloon, followed by implantation of 3 Firehawk  rapamycin target eluting coronary stents, ranging in diameter from 2.75 mm to 3.5 mm, as previously everolimus and zotarolimus eluting stents were used (Fig. 1E, F).