Severely Calcific Coronary Artery Lesion Interventions

Raman Sharma, Samin K. Sharma

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Calcific coronary lesions have been associated with multiple complications, including poor response to balloon angioplasty, dissection during PTCA/predilatation, difficulty in stent delivery and inadequate stent expansion [1-4]. This complexity associated with severely calcific lesion intervention has been associated with increase in-hospital (12.3% vs 1.5%) and 1-year MACE (24.2% vs. 5.4%) when compared to lesions with no/mild calcium [5]. Optimal stent delivery and apposition require adequate preparation and modification with super-high pressure noncompliant balloons, cutting balloon atherotomy or atherectomy devices.

Original languageEnglish
Title of host publicationPractical Manual of Interventional Cardiology
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Number of pages17
ISBN (Electronic)9783030685386
ISBN (Print)9783030685379
StatePublished - 1 Jan 2021


  • Atherotomy
  • Calcific lesion intervention
  • Cutting balloon
  • Excimer laser atherectomy
  • Intracoronary lithotripsy
  • Noncompliant balloon
  • Orbital atherectomy
  • Rotational atherectomy


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