New Advances in the Treatment of Severe Coronary Artery Calcifications.

Pierluigi Demola, Francesca Ristalli, Brunilda Hamiti, Francesco Meucci, Carlo Di Mario, Alessio Mattesini

Journal: Cardiology clinics 2021;38(4):619-627

PMID: 33036722

Full Text on Elsevier Science View on PubMed

Abstract

Coronary artery calcifications are always challenging scenarios for interventional cardiologists. Calcium content in coronary tree directly correlates with male sex, age, Caucasian ethnicity, diabetes, and chronic kidney disease. Intracoronary imaging is useful and necessary to understand calcific lesion features and plan the best percutaneous coronary intervention strategy. Thus, accurate evaluation of patient and lesion characteristics is crucial. For this reason, definition of calcific arc, length, and thickness can suggest the best procedure before stenting and final optimization. In our modern era, different devices are available and all are surprisingly promising.

Address: Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Careggi University Hospital, Largo Brambilla, 3, Florence 50134, Italy.; Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Careggi University Hospital, Largo Brambilla, 3, Florence 50134, Italy. Electronic address: [email protected].

DOI: 10.1016/j.ccl.2020.07.007

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MeSH Terms: Angioplasty, Balloon, Coronary, Atherectomy, Coronary, Calcinosis, Coronary Artery Disease, Humans, Lithotripsy, Percutaneous Coronary Intervention, Ultrasonography, Interventional