Contemporary percutaneous management of coronary calcification: current status and future directions.
Breda HennesseyNilesh PareekFernando MacayaJulian YeohEvan ShlofmitzNieves GonzaloJonathan HillJavier EscanedPublished in: Open heart (2023)
Severe coronary artery calcification is one of the greatest challenges in attaining success in percutaneous coronary intervention, limiting acute and long-term results. In many cases, plaque preparation is a critical prerequisite for delivery of devices across calcific stenoses and also to achieve adequate luminal dimensions. Recent advances in intracoronary imaging and adjunctive technologies now allow the operator to select the most appropriate strategy in each individual case. In this review, we will revisit the distinct advantages of a complete assessment of coronary artery calcification with imaging and application of appropriate and contemporary plaque modification technologies in achieving durable results in this complex lesion subset.
Keyphrases
- coronary artery
- coronary artery disease
- pulmonary artery
- percutaneous coronary intervention
- chronic kidney disease
- high resolution
- st elevation myocardial infarction
- liver failure
- acute myocardial infarction
- st segment elevation myocardial infarction
- coronary artery bypass grafting
- drug induced
- respiratory failure
- mass spectrometry
- atrial fibrillation
- aortic dissection
- ultrasound guided
- left ventricular
- hepatitis b virus
- intensive care unit
- photodynamic therapy
- extracorporeal membrane oxygenation