Does #ShockwaveIVL enable compression of calcified nodules? That’s Dr. Shoichi Kuramitsu’s hypothesis after treating a 61-year-old male patient with exertional chest pain. Initial angiography showed severe stenosis of the mid RCA with heavy calcification, and OCT revealed noneruptive calcified nodules. Dr. Kuramitsu tried a 3.0mm cutting balloon before IVL, but it could not expand fully, even at 20 atm. So then, Dr. Kuramitsu used a 3.5mm #CoronaryIVL device to modify the calcium, and the balloo
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