Shockwave Intravascular Lithotripsy of Undilatable STEMI Lesion in Primary PCI.

Percutaneous coronary intervention in STEMI patients may be complicated by the presence of calcium. The Shockwave IVL technique seems to be a safe and useful option, even in STEMI cases, to achieve procedural success. Nevertheless, extra support techniques may be needed in order to deliver the Shockwave balloon.

First Reported Case of Skin Necrosis Due to Prolonged Mechanical Compression After Transradial Catheterization.

We present a patient under triple-antithrombotic therapy who underwent prolonged mechanical compression after radial intervention; the subsequent necrosis at the access site required surgical repair.