Contemporary Approach to Heavily Calcified Coronary Lesions

Carlotta Sorini Dini, Giulia Nardi, Francesca Ristalli, Alessio Mattesini, Brunilda Hamiti, Carlo Di Mario, Carlotta Sorini Dini, Giulia Nardi, Francesca Ristalli, Alessio Mattesini, Brunilda Hamiti, Carlo Di Mario

Abstract

Percutaneous treatment of heavily calcified coronary lesions still represents a challenge for interventional cardiology, with higher risk of immediate complications, late failure due to stent underexpansion and malapposition, and consequently poor clinical outcome. Good characterisation of calcium distribution with multimodal imaging is important to improve the successful treatment of these lesions. The use of traditional or new dedicated devices for the treatment of calcified lesions allows better lesion preparation; therefore, it is important that we know the different mechanisms and technical features of these devices.

Keywords: Coronary calcified lesion; atherectomy; coronary angioplasty; intravascular ultrasound; lithotripsy; optical coherence tomography; outcome.

Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

Copyright © 2019, Radcliffe Cardiology.

Figures

Figure 1:. Representative Images Obtained Using the…
Figure 1:. Representative Images Obtained Using the Different Imaging Techniques
Figure 2:. Decision Algorithm for the Treatment…
Figure 2:. Decision Algorithm for the Treatment of Calcified Coronary Lesions

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