Abstract
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 language | English |
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Title of host publication | Practical Manual of Interventional Cardiology |
Subtitle of host publication | Second Edition |
Publisher | Springer International Publishing |
Pages | 275-291 |
Number of pages | 17 |
ISBN (Electronic) | 9783030685386 |
ISBN (Print) | 9783030685379 |
DOIs | |
State | Published - 1 Jan 2021 |
Keywords
- Atherotomy
- Calcific lesion intervention
- Cutting balloon
- Excimer laser atherectomy
- Intracoronary lithotripsy
- Noncompliant balloon
- Orbital atherectomy
- Rotational atherectomy