Abbott's TECTONIC trial met its primary safety and effectiveness endpoints for SonicForce, an investigational coronary intravascular lithotripsy system. Target lesion failure at 30 days was 0.3 percent. Procedural success was 97 percent. Major adverse cardiac events in the as-treated population also came in at 0.3 percent.

The study enrolled 335 patients with severely calcified coronary artery disease under an FDA investigational device exemption. Abbott presented the data at TCT 2026 in San Diego on November 1 and published it the same day in JACC: Cardiovascular Interventions. SonicForce is not approved or cleared for use in the United States.

Calcium modification has turned into a crowded shelf. A 30-day safety profile this clean gets Abbott to a submission without much argument, but operators choosing between lithotripsy catheters will wait for the 12-month numbers before they switch.