Scholarlink

Purpose of Review <p>Heavily calcified coronary lesions present unique challenges during percutaneous coronary interventions (PCI), impacting procedural success and long-term outcomes. This review underscores the importance of tailored approaches to address the challenges of coronary calcification, improving PCI outcomes and patient care.</p> Recent Findings <p>Advances in intravascular imaging, including intravascular ultrasound and optical coherence tomography, have improved the detection and characterization of coronary calcium, enabling tailored calcium modification strategies. Calcium modification techniques are helpful tools for addressing calcified plaques, with newer devices enhancing technical precision and reducing risks.</p> Summary <p>This review outlines up-to-date techniques for lesion preparation, including specialty balloons, intravascular lithotripsy, and atherectomy devices. Although each modality offers distinct advantages, the choice depends on lesion complexity, calcium morphology, and operator expertise. Future randomized trials will be pivotal in defining optimal strategies and assessing long-term outcomes of these technologies.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Approach to Coronary Calcium and Procedural Techniques During Percutaneous Coronary Intervention

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年3月11日

查看全文
  • Yasser M. Sammour,
  • Kareem A. Mohamed,
  • Bassim El-Sabawi,
  • Nadia R. Sutton

摘要

Purpose of Review

Heavily calcified coronary lesions present unique challenges during percutaneous coronary interventions (PCI), impacting procedural success and long-term outcomes. This review underscores the importance of tailored approaches to address the challenges of coronary calcification, improving PCI outcomes and patient care.

Recent Findings

Advances in intravascular imaging, including intravascular ultrasound and optical coherence tomography, have improved the detection and characterization of coronary calcium, enabling tailored calcium modification strategies. Calcium modification techniques are helpful tools for addressing calcified plaques, with newer devices enhancing technical precision and reducing risks.

Summary

This review outlines up-to-date techniques for lesion preparation, including specialty balloons, intravascular lithotripsy, and atherectomy devices. Although each modality offers distinct advantages, the choice depends on lesion complexity, calcium morphology, and operator expertise. Future randomized trials will be pivotal in defining optimal strategies and assessing long-term outcomes of these technologies.