A case of coronary dissection complicating intravascular lithotripsy

A middle-aged male suffering from diabetes developed severe coronary artery dissection soon after 40 pulses of intravascular lithotripsy (IVL) with a 2.5 mm × 12 mm balloon inflated at 4–6 atmospheres. The patient developed chest discomfort accompanied by bradycardia. The dissection was successfully promptly treated with the insertion of a 2.75 mm × 18 mm everolimus-eluting stent. Coronary dissection following IVL, although uncommon, is not rare, and therefore, the operator should look out for this complication.