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In patients undergoing percutaneous coronary intervention (PCI), severely calcified lesions remain a great challenge even in the drug-eluting stent (DES) era. Intravascular lithotripsy (IVL) is effective for modification of severely calcified lesions prior to DES implantation. However, the efficacy of PCI with drug-coated balloon (DCB) following IVL has not been fully elucidated. Here, we present a case of severely calcified coronary artery lesion successfully underwent PCI with DCB following IVL under optical coherence tomography (OCT) guidance as well as mid-term follow-up OCT. DCB following IVL might be a potential revascularization strategy for patients with heavily calcified coronary artery lesions.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608985PMC
http://dx.doi.org/10.3389/fcvm.2024.1470785DOI Listing

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