Evidence map›Paper›PMID 42621607›Full record

ArticleEuropean heart journal. Case reports2026

Intravascular lithotripsy for optimized percutaneous coronary intervention of a 30-year-old saphenous vein graft: a case report.

Ashwin Kumar, Vinyas Shraffi Venkatesh, Boskey Patel

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ashwin KumarDepartment of Medicine, UConn Health, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030-1235, USA.ORCID https://orcid.org/0000-0002-8327-2559
Vinyas Shraffi VenkateshDepartment of Medicine, UConn Health, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030-1235, USA.ORCID https://orcid.org/0009-0000-8352-9695
Boskey PatelInterventional Cardiology, Hartford Healthcare Heart and Vascular Institute at Hartford Hospital, 80 Seymour Street, Hartford, CT 06102, USA.ORCID https://orcid.org/0009-0004-8320-7118

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intravascular lithotripsy (IVL) is approved for native coronary calcium modification, but data in saphenous vein grafts (SVGs) are scarce. Case summary: An 87-year-old man with remote coronary artery bypass grafting presented with chest pain and was found to have non-ST-elevation myocardial infarction and new left ventricular dysfunction. Angiography revealed severe multi-vessel disease, with an 80% proximal lesion in a 30-year-old SVG collateralizing multiple territories with new wall motion abnormality. Percutaneous coronary intervention with embolic protection was attempted, but dense circumferential calcification limited balloon expansion. IVL with a 2.5 mm Shockwave balloon delivering 120 pulses allowed intravascular ultrasound passage, successful stent deployment, and satisfactory expansion. Discussion: This case demonstrates successful off-label IVL use in SVG percutaneous coronary intervention, adding to limited reports and highlighting its potential in challenging revascularization.

Indexed as

Case reportEmbolic protection deviceIntravascular lithotripsyPercutaneous coronary interventionSaphenous vein graft

Identifiers

PMID42621607
PMCPMC13489151

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.