Management of Calcified Coronary Lesions
With an aging population, coronary calcification is increasingly encountered in modern day interventional practice. Unfortunately, it is associated with lower procedural success and higher rates of periprocedural complications, such as failure to deliver stents, perforations, dissections, and other...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2024-01-01
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| Series: | US Cardiology Review |
| Online Access: | https://www.uscjournal.com/articleindex/usc.2022.29 |
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| author | Khaled Al-Shaibi Aditya Bharadwaj Atul Mathur Ashish Jaikishen Robert Riley |
| author_facet | Khaled Al-Shaibi Aditya Bharadwaj Atul Mathur Ashish Jaikishen Robert Riley |
| author_sort | Khaled Al-Shaibi |
| collection | DOAJ |
| description | With an aging population, coronary calcification is increasingly encountered in modern day interventional practice. Unfortunately, it is associated with lower procedural success and higher rates of periprocedural complications, such as failure to deliver stents, perforations, dissections, and other major adverse cardiac events. Furthermore, suboptimal stent deployment in the setting of severe calcification is associated with both short- and long-term major adverse cardiac events, including stent thrombosis, MI, in-stent restenosis, and target lesion revascularization. A variety of treatment options for these lesions exist, including specialized balloons, atherectomy, and intravascular lithotripsy. While there is currently no universally accepted algorithm for choosing between these treatment strategies, several different algorithms exist, and the optimization of these treatment regimens will continue to evolve in the coming years. This review aims to provide insights on the different therapeutic modalities and an understanding of the current body of evidence. |
| format | Article |
| id | doaj-art-49fda599f8f8410089502adeb584ae9a |
| institution | OA Journals |
| issn | 1758-3896 1758-390X |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | US Cardiology Review |
| spelling | doaj-art-49fda599f8f8410089502adeb584ae9a2025-08-20T01:56:38ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2024-01-011810.15420/usc.2022.29Management of Calcified Coronary LesionsKhaled Al-Shaibi0Aditya Bharadwaj1Atul Mathur2Ashish Jaikishen3Robert Riley4Cardiac Center, King Fahd Armed Forces Hospital, Jeddah, Saudi ArabiaDivision of Cardiology, Loma Linda University Medical Center, Loma Linda, CADivision of Cardiology, Fortis Escorts Heart Institute, New Delhi, IndiaDivision of Cardiology, Fortis Escorts Heart Institute, New Delhi, IndiaCardiology Division, Overlake Medical Center and Clinics, Bellevue, WAWith an aging population, coronary calcification is increasingly encountered in modern day interventional practice. Unfortunately, it is associated with lower procedural success and higher rates of periprocedural complications, such as failure to deliver stents, perforations, dissections, and other major adverse cardiac events. Furthermore, suboptimal stent deployment in the setting of severe calcification is associated with both short- and long-term major adverse cardiac events, including stent thrombosis, MI, in-stent restenosis, and target lesion revascularization. A variety of treatment options for these lesions exist, including specialized balloons, atherectomy, and intravascular lithotripsy. While there is currently no universally accepted algorithm for choosing between these treatment strategies, several different algorithms exist, and the optimization of these treatment regimens will continue to evolve in the coming years. This review aims to provide insights on the different therapeutic modalities and an understanding of the current body of evidence.https://www.uscjournal.com/articleindex/usc.2022.29 |
| spellingShingle | Khaled Al-Shaibi Aditya Bharadwaj Atul Mathur Ashish Jaikishen Robert Riley Management of Calcified Coronary Lesions US Cardiology Review |
| title | Management of Calcified Coronary Lesions |
| title_full | Management of Calcified Coronary Lesions |
| title_fullStr | Management of Calcified Coronary Lesions |
| title_full_unstemmed | Management of Calcified Coronary Lesions |
| title_short | Management of Calcified Coronary Lesions |
| title_sort | management of calcified coronary lesions |
| url | https://www.uscjournal.com/articleindex/usc.2022.29 |
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