Korean Circ J.  2023 Feb;53(2):55-68. 10.4070/kcj.2022.0303.

Contemporary Interventional Approach to Calcified Coronary Artery Disease

• Sung JG
• Lo ST
• Lam H

• KMID: 2539484
• DOI: http://doi.org/10.4070/kcj.2022.0303

Abstract

Calcific coronary artery disease is an increasingly prevalent entity in the catheterization laboratory which has implications for stenting and expected outcomes. With new interventional techniques and equipment, strategies to favorably modify coronary calcium prior to stenting continue to evolve. This paper sought to review the latest advances in the management of severe coronary artery calcification in the catheterization laboratory and discuss contemporary percutaneous interventional approaches.

Keyword

Percutaneous coronary intervention; Calcium; Rotational atherectomy; Orbital atherectomy; Intravascular lithotripsy

Figure

• 

  Figure 1 Management algorithm for severely calcified lesion.ELCA = excimer laser coronary atherectomy; IVUS = intravascular ultrasound; NC = non-compliant; OCT = optical coherence tomography.

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