Calcified Lesion Assessment and Intervention in Complex Percutaneous Coronary Intervention: Overview of Angioplasty, Atherectomy, and Lithotripsy

Calcific coronary artery disease intervention is associated with uniformly worse short-term procedural and long-term clinical results compared with treatment of non-calcified lesions. Multiple intravascular imaging tools currently exist to aid the identification and detailed characterization of intr...

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Main Authors: Alexander G Truesdell, Matheen A Khuddus, Sara C Martinez, Evan Shlofmitz
Format: Article
Language:English
Published: Radcliffe Medical Media 2020-07-01
Series:US Cardiology Review
Online Access:https://www.uscjournal.com/articleindex/usc.2020.16
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author Alexander G Truesdell
Matheen A Khuddus
Sara C Martinez
Evan Shlofmitz
author_facet Alexander G Truesdell
Matheen A Khuddus
Sara C Martinez
Evan Shlofmitz
author_sort Alexander G Truesdell
collection DOAJ
description Calcific coronary artery disease intervention is associated with uniformly worse short-term procedural and long-term clinical results compared with treatment of non-calcified lesions. Multiple intravascular imaging tools currently exist to aid the identification and detailed characterization of intracoronary calcium, and guide appropriate follow-on management strategies. Several unique device therapies, to include angioplasty, atherectomy, and lithotripsy may be employed to enhance lesion preparation, stent implantation and optimization, and improve patient outcomes. Current low use of both imaging and ablative technologies in the US offers significant future opportunities for improving the comprehensive evaluation and management of these complex lesion subsets and patients.
format Article
id doaj-art-6c24a09aa6424f89814fe8a7bdbf835d
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publishDate 2020-07-01
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record_format Article
series US Cardiology Review
spelling doaj-art-6c24a09aa6424f89814fe8a7bdbf835d2024-12-14T16:02:13ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2020-07-011410.15420/usc.2020.16Calcified Lesion Assessment and Intervention in Complex Percutaneous Coronary Intervention: Overview of Angioplasty, Atherectomy, and LithotripsyAlexander G Truesdell0Matheen A Khuddus1Sara C Martinez2Evan Shlofmitz3Virginia Heart, Falls Church, VA; Inova Heart and Vascular Institute, Falls Church, VAThe Cardiac and Vascular Institute, Gainesville, FLProvidence St Peter Hospital, Olympia, WAMedStar Washington Hospital Center, Washington, DCCalcific coronary artery disease intervention is associated with uniformly worse short-term procedural and long-term clinical results compared with treatment of non-calcified lesions. Multiple intravascular imaging tools currently exist to aid the identification and detailed characterization of intracoronary calcium, and guide appropriate follow-on management strategies. Several unique device therapies, to include angioplasty, atherectomy, and lithotripsy may be employed to enhance lesion preparation, stent implantation and optimization, and improve patient outcomes. Current low use of both imaging and ablative technologies in the US offers significant future opportunities for improving the comprehensive evaluation and management of these complex lesion subsets and patients.https://www.uscjournal.com/articleindex/usc.2020.16
spellingShingle Alexander G Truesdell
Matheen A Khuddus
Sara C Martinez
Evan Shlofmitz
Calcified Lesion Assessment and Intervention in Complex Percutaneous Coronary Intervention: Overview of Angioplasty, Atherectomy, and Lithotripsy
US Cardiology Review
title Calcified Lesion Assessment and Intervention in Complex Percutaneous Coronary Intervention: Overview of Angioplasty, Atherectomy, and Lithotripsy
title_full Calcified Lesion Assessment and Intervention in Complex Percutaneous Coronary Intervention: Overview of Angioplasty, Atherectomy, and Lithotripsy
title_fullStr Calcified Lesion Assessment and Intervention in Complex Percutaneous Coronary Intervention: Overview of Angioplasty, Atherectomy, and Lithotripsy
title_full_unstemmed Calcified Lesion Assessment and Intervention in Complex Percutaneous Coronary Intervention: Overview of Angioplasty, Atherectomy, and Lithotripsy
title_short Calcified Lesion Assessment and Intervention in Complex Percutaneous Coronary Intervention: Overview of Angioplasty, Atherectomy, and Lithotripsy
title_sort calcified lesion assessment and intervention in complex percutaneous coronary intervention overview of angioplasty atherectomy and lithotripsy
url https://www.uscjournal.com/articleindex/usc.2020.16
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