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.
It was smooth sailing for Shockwave this summer! Thank you to everyone who made Q3 unforgettable; but before we get cozy for the holidays, let’s reflect on the events that made the quarter one to remember. This year’s TCT was particularly momentous, as we announced the first prospective, female-only study of coronary interventions, EMPOWER CAD. We also explored tips and tricks for IVL with guide extension catheter usage with Dr. Stephan Heo and debated different approaches to modifying nodular calcium with an expert panel. Read up on the latest Shockwave IVL peer-written publications and more in the Q3 PulsePoint Newsletter.
Topics: Coronary IVL, Peripheral IVL, IVL Technology, Coronary Clinical Data, Peripheral Conferences, Peripheral Clinical Data, SWAV News, Shockwave C2, Coronary Conferences, Shockwave S4, PulsePoint Newsletter, Calcium Corner, Shockwave M5 & Shockwave M5+, Female vs. Male Outcomes, Empower CAD
In this short video, Dr. Sundeep Kalra, Royal Free Hospital of London, UK, shares his experience with Shockwave IVL, highlighting his evolution in the use of the technology since he started in 2016. At that time, his main indication for use of IVL was severely calcified coronary arteries with > 270° arc of calcium on intravascular imaging. Nowadays, Dr. Kalra uses Shockwave IVL to treat the whole lesion throughout all calcium morphologies, to ensure good plaque modification and achieve greater stent expansion.
Here, Dr. Kalra presents one of his recent clinical cases with Shockwave IVL: a 77-year-old woman with worsening stable angina and severe calcified LAD. The patient was treated with a 3.0mm Shockwave C2, using 50 shocks to fracture nodular calcium and 30 shocks for the eccentric plaque, followed by stent placement.
Dr. Jaikirshan J. Khatri, MD, FACC, FSCAI Director of Complex Coronary Intervention Heart, Vascular & Thoracic Institute, at Cleveland Clinic; Cleveland, Ohio shares his calcium modification approach with Coronary IVL including his best practices for pulse management as well as how calcium is affected by the fractures caused by coronary IVL.
Despite often being more challenging to treat, female PCI patients are under-represented in published data, with no dedicated prospective studies performed on this population. To address this unmet need, Shockwave is launching EMPOWER CAD, the first prospective, female-only study of coronary interventions.
Attending TCT in Boston in a few weeks? Want to get "wicked smart" about treating coronary calcium? Shockwave has a lot in store for you:
Dr. Suzanne J. Baron of Lahey Hospital and Medical Center, Burlington, Massachusetts talks about gender disparities of PCI outcomes in calcified lesions, citing the recent SCAI Expert Consensus Statement, which brings to light the under-representation of women in cardiovascular clinical trials. Dr. Baron also talks about the impact of IVL to improve outcomes in women with calcified disease based on the recently published sex specific analysis of Disrupt CAD Pooled data at SCAI 2022.
For more information on Coronary IVL CAD Pooled Gender Analysis data, please visit ItsTimeForAnIntervention.com
Dr. Stephan Heo of the New England Heart and Vascular Institute, Catholic Medical Center, Manchester, New Hampshire shares his decision-making process in approaching calcified lesions in complex PCI as well as strategies to deliver IVL with different GEC techniques when facing challenging vessel anatomy and calcium morphology.