Intravascular Lithotripsy: A Promising Treatment for Calcified Lesions in Acute Coronary Syndromes

Summary Intravascular lithotripsy (IVL) uses sonic pressure waves to treat severely calcified coronary lesions, offering a minimally invasive option for complex PCI procedures. The study by Oliver. et al, supports IVL as a safe and effective treatment for ACS patients with calcified lesions, particularly in challenging anatomical scenarios like the left main artery. The study's observational design, short follow‐up (1 year), small sample size, and male‐dominant population limit the broader applicability of the findings. Despite limitations, the study highlights IVL's potential in treating severely calcified coronary lesions and suggests it could be an alternative to traditional therapies, especially in high‐risk cases.