Welcome to The Catalyst
Change isn't quick. Unless it's when you experience Intravascular Lithotripsy (IVL) for the first time. Stay apprised of our latest news and insights while discovering how a simple and intuitive tool can be The Catalyst to change the way you think about calcium modification.
Eccentric calcium has challenged current modalities’ ability to adequately modify calcium due to several device-dependent factors. NC balloons often expand the healthy, non-calcified side of the artery, while high pressure or cutting balloons may result in disruption or dissection of healthy intima. Even atherectomy devices are limited due to wire bias that may often result in nonuniform ablation of calcium leaving the calcified plaque untouched.
Topics: Coronary IVL, Coronary Cases, Shockwave C2, CAD Applications - Eccentric Lesions, Coronary IVL - U.S.
Treatment of nodular calcium in coronary PCI remains a challenge, even for the most skilled operators. Recently, CRT 2021 Virtual featured a live case from Medstar Washington Hospital Center in Washington, DC with nodular calcium from operators Hayder D. Hashim, MD, and Lowell F. Satler, MD, who were joined by an expert panel led by Ron Waksman, MD. During the case the physicians discussed and debated treatment strategies to address nodular calcium, deciding in this case for coronary IVL, which resulted from a baseline MLA of 1.6mm2 to a post-IVL MLA of 4.9mm2 to a post-DES MSA of 7.2mm2.
Topics: Coronary IVL, Coronary Cases, Shockwave C2, CAD Applications - Eccentric Lesions, CAD Applications - Bifurcations, Coronary IVL - U.S.
One cannot become a calcium expert overnight – it takes time and commitment to go deep on the topic. That’s why we’re excited to embark this month on a year-long education journey that we’re calling the Calcium Masterclass. Over the last year, we’ve been working with Prof. James Spratt (St. George’s University, London) and the team at Optima Education to develop a comprehensive collection of 10 webinars, 5 of which will feature live cases, and a 14-chapter calcium compendium that will be presented by 37 masters of coronary calcium.
Topics: Coronary IVL, Coronary Cases, Shockwave C2, CAD Applications - Eccentric Lesions, CAD Applications - Bifurcations, Coronary IVL - U.S.
Eccentric calcium has always been a ‘pain’…a real thorn in the interventionalists’ side. While current devices in eccentric calcium often expand the healthy, non-calcified side of the artery or fall subject to wire bias that prevents it from reaching the calcified side of the artery, coronary Intravascular Lithotripsy (IVL) offers a new alternative that can modify both concentric and eccentric calcium equally as well. Don’t be satisfied with less than ideal stent expansion in eccentric calcium, instead learn how Dr. Margaret McEntegart has used IVL to modify eccentric calcium in the left main and hear Profs. Holger Nef & Carlo Di Mario share their recent publications and clinical data comparing IVL outcomes in eccentric and concentric calcified lesions.
Assessment and Management of Calcified Coronary Lesions, Part 1/5
Live in a Box: Left Main Bifurcation Lesion with Eccentric Calcium, Part 2/5
CAD I/II Analysis: Eccentric Vs. Concentric Lesions, Part 3/5
Lithotripsy in Eccentric and Concentric Coronary Calcifications, Part 4/5
Discussion and Conclusion, Part 5/5
Topics: Coronary Cases, Coronary Clinical Data, Shockwave C2, CAD Applications - Eccentric Lesions
Prof. Carlo Di Mario, Director of Structural Interventional Cardiology at the Careggi University Hospital in Florence, Italy, and other cardiologists in Florence recently published their initial real-world experience when using intravascular imaging while treating coronary lesions with Intravascular Lithotripsy (IVL).
Topics: Coronary IVL, Coronary Clinical Data, Shockwave C2, CAD Applications - Eccentric Lesions
If Shockwave IVL had a personality, we’d like to think that we’d be a bit on the eccentric side. A little unconventional and taking a slightly different path than everyone else. After all, you won’t be successful in introducing a new disruptive technology if you’re marching to the same drumbeat as everyone else.
Topics: DISRUPT CAD, Coronary Cases, Shockwave C2, Coronary Conferences, CAD Applications - Eccentric Lesions
In case you weren’t able to make it to EuroPCR’s e-Course last week, you missed a great discussion among some of coronary IVL’s most knowledgeable operators about how they’re using the technology in the real-world setting. Lucky for you, we’ve included the sponsored roundtable discussion below featuring Drs. Benjamin Honton (FR), Javier Escaned (ES) and Michael Lee (HK). We hope you enjoy hearing their perspectives from across Europe and Asia.
Topics: Coronary IVL, Coronary Cases, Coronary Clinical Data, Shockwave C2, Coronary Conferences, CAD Applications - Eccentric Lesions
But, right now we're in the early phases of the R&D program. In the meantime, don't miss the IVL application that heart teams are embracing already — maintaining transfemoral TAVR access through heavily calcified iliacs by using IVL.
