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NAMC Performs First Shockwave C2 Aero Procedure

November 21, 2025

FLORENCE, Ala. – The interventional cardiology team at North Alabama Medical Center (NAMC), led by Muhammad

Mohsin Munawar, MD, recently performed its first case using the new generation of the Shockwave Medical balloon — the Shockwave C2 Aero.

The procedure utilizes intravascular lithotripsy (IVL), where the balloon uses acoustic shock waves to safely break apart hardened, calcified plaque within the coronary arteries. The introduction of the new C2 Aero device makes treating patients with complex coronary artery disease sleeker, faster, and more efficient. This low-risk procedure is being described as a game-changer for improving patient outcomes in managing complex calcium buildup.

“The Shockwave has been used in the past for heavily calcified vessels,” said Munawar. “This newer device has a much better crossing profile and can pass the lesions, which cannot be crossed by the regular IVL balloon.”

The Shockwave C2 Aero features improved deliverability, thanks to a redesigned shaft and more flexible marker bands. The device is engineered to be more deliverable, crossable, repositionable, and efficient than previous generations of Shockwave Coronary IVL.

The Shockwave IVL System modifies calcified plaque by generating sonic pressure waves to crack the calcium. This action helps restore optimal blood flow and enables better stent expansion and placement. The system consists of a generator, connector cable, and a catheter with an inflatable balloon that houses the lithotripsy emitters. This innovative technology is designed to make procedures for complex, calcified lesions safer and more predictable.

North Alabama Medical Center continues its commitment to bringing leading-edge cardiovascular technology, like the IVL system, to the local community.

For more information about North Alabama Cardiology, please call 256-766-2118.

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