A large post-stenting intramural hematoma in the left anterior descending artery caused by a small intimal calcium spur; should we respect the calcium shape?
Ahmed SamirPublished in: BMC cardiovascular disorders (2024)
Coronary heavy calcification (HC) poses a sturdy challenge to percutaneous coronary intervention (PCI). Scores considering calcification length, thickness, or circumferential extent, are widely accepted to dictate upfront calcium modification to improve PCI outcomes. Although often marginalized, calcification shape (morphology) may require consideration during procedure planning in selected cases. This case demonstrates how a focal but spur-shaped calcification led to a massive proximal left anterior descending (LAD) dissecting intramural hematoma.
Keyphrases
- percutaneous coronary intervention
- coronary artery disease
- antiplatelet therapy
- chronic kidney disease
- acute myocardial infarction
- acute coronary syndrome
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- coronary artery bypass grafting
- atrial fibrillation
- coronary artery
- heart failure
- minimally invasive
- coronary artery bypass
- type diabetes
- insulin resistance
- metabolic syndrome
- transcatheter aortic valve replacement