Successful intravascular pulmonary lithotripsy in a child with chronic thromboembolic pulmonary hypertension

Intravascular lithotripsy (IVL) is a novel method based on pulsatile ultrasonic pressure waves specifically aimed to modify circumferential and transmural calcium plaques. We report the successful application of shockwave IVL catheter® in child with chronic thromboembolic pulmonary hypertension due calcified thrombi both lower lobes. Compared conventional high-pressure balloon angioplasty, significant perfusion-improvement was achieved (4 mm) treated right artery branch. Furthermore, subsequent surgical thrombectomy reported be considerably easier for shockwave-treated thrombotic areas than balloon-only-treated thrombus. In conclusion, may promising option lesions PA (pulmonary artery) position, furthermore might an when treating children.