Severely Calcific Coronary Artery Lesion Interventions

Raman Sharma, Samin K. Sharma

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

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 languageEnglish
Title of host publicationPractical Manual of Interventional Cardiology
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Pages275-291
Number of pages17
ISBN (Electronic)9783030685386
ISBN (Print)9783030685379
DOIs
StatePublished - 1 Jan 2021

Keywords

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

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