New Case Series Shows LithiX HC-IVL Performs Well in Severely Calcified Lesions
Two-center case series in JACC: Advances on LithiX HC-IVL in severely calcified coronary lesions.
The case series focused on 16 patients with severely calcified de novo coronary lesions. In more than 60 percent, circumferential calcium exceeded 180 degrees, a particularly challenging starting point for stent implantation.[1] Before and after lesion preparation, OCT imaging documented visible calcium fractures and favorable stent expansion, indicative of effective acute calcium modification.[1]
The result: a 93.8 percent technical success rate, 100 percent procedural success, and no major complications.[1]
This case series is a strong example of how LithiX HC-IVL performs in everyday practice, even in technically demanding calcified lesions.
Benjamin Rieck, Managing Director Angiopro
LithiX HC-IVL fractures calcium with precision, without damaging the surrounding soft tissue, and without the need for an external energy source. This gentle approach to calcium modification lowers the risk of dissection and perforation and lays the groundwork for optimal stent expansion, even in the kind of severe calcification described in this case series.
Guidewire Lumen
Central lumen for precise advancement of the guidewire through the lesion.
Hemispheres
Concentrate mechanical stress on calcified plaque without a generator.
Inflation Lumen
Inner lumen enabling precise control of balloon inflation.
Balloon
Semi-compliant balloon allowing controlled dilation at low pressure.
Distal Tip
Soft, atraumatic tip designed for safe vessel entry.
Catheter Shaft
Flexible, reinforced shaft providing excellent pushability and manoeuvrability.
Questions about LithiX HC-IVL?
Our team is happy to help with any questions about availability, training, and clinical use of LithiX HC-IVL.
Get in touch →[1] Case series, published in JACC: Advances, 2026. DOI: 10.1016/j.jacadv.2026.102958
