Endovascular revascularisation in chronic occlusive mesenteric ischaemia: safety and efficacy of intravascular lithotripsy

Question Can vessel preparation with intravascular lithotripsy reduce the rate of endovascular treatment failure associated with moderate-to-severe calcification in mesenteric artery stenosis without amplifying procedural risks? Findings Calcium modification with intravascular lithotripsy prior to stenting yielded high technical and clinical success with favourable lumen gain, safety profile, and durable patency. Clinical relevance Adjunctive intravascular lithotripsy is a valuable strategy to mitigate the challenges of calcification in mesenteric artery stenosis, achieving high technical and clinical success while preserving procedural safety, thereby broadening treatment feasibility and improving outcomes in complex disease.