We present the use of intravascular lithotripsy as a treatment for highly calcified superior mesenteric artery stenosis. A 67-year-old diabetic man had chronic postprandial abdominal pain and weight loss. Computed tomography angiography revealed highly calcified stenosis of the superior mesenteric artery. Selective angiography confirmed severe stenosis. A Shockwave lithotripsy balloon catheter was successfully used via brachial access to modify calcified plaque and increase vascular lumen. After 12 months of follow-up the patient had gained weight and had no abdominal postprandial pain. Intravascular lithotripsy could be considered a new treatment modality to modify calcified lesions in the visceral arteries. More controlled studies are needed to demonstrate the efficacy, safety and feasibility of this new technology. 4, Case Report

中文翻译：

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冲击波血管内碎石术治疗有症状和严重钙化的肠系膜上动脉狭窄

我们介绍了使用血管内碎石术治疗高度钙化的肠系膜上动脉狭窄。一名 67 岁的糖尿病男性患有慢性餐后腹痛和体重减轻。计算机断层扫描血管造影显示肠系膜上动脉高度钙化狭窄。选择性血管造影证实严重狭窄。冲击波碎石球囊导管通过肱动脉通路成功地用于改变钙化斑块并增加血管腔。经过 12 个月的随访，患者体重增加，并且没有腹部餐后疼痛。血管内碎石术可被认为是改变内脏动脉钙化病变的新治疗方式。需要更多的对照研究来证明这项新技术的有效性、安全性和可行性。4、病例报告