E-14 | Intracoronary Lithotripsy Use for In-stent Restenosis Including Multilayer ISR

Intravascular lithotripsy (IVL) use has been well described in calcified coronary artery disease. It has been deemed an effective and a safe method for plaque modification. In-stent restenosis (ISR) remains a major challenge in coronary revascularization especially multilayer ISR. The use of IVL in ISR remains off label and has been described in case reports and small case series. Here we describe IVL use in ISR including multilayer ISR and its procedural and clinical outcomes.