The role of invasive and non-invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcifications
The treatment of coronary artery disease (CAD) has advanced significantly in recent years due to improvements in medical therapy and percutaneous or surgical revascularization. However, a persistent obstacle in the percutaneous management of CAD is coronary artery calcification (CAC), which portends...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1133510/full |
| _version_ | 1827971859540344832 |
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| author | Samuel B. Wopperer Rafail Kotronias Federico Marin Stefano Benenati Francesco Della Mora Francesco Della Mora Leonardo Portolan Adrian P. Banning Giovanni Luigi De Maria |
| author_facet | Samuel B. Wopperer Rafail Kotronias Federico Marin Stefano Benenati Francesco Della Mora Francesco Della Mora Leonardo Portolan Adrian P. Banning Giovanni Luigi De Maria |
| author_sort | Samuel B. Wopperer |
| collection | DOAJ |
| description | The treatment of coronary artery disease (CAD) has advanced significantly in recent years due to improvements in medical therapy and percutaneous or surgical revascularization. However, a persistent obstacle in the percutaneous management of CAD is coronary artery calcification (CAC), which portends to higher rates of procedural challenges, post-intervention complications, and overall poor prognosis. With the advent of novel multimodality imaging technologies spanning from intravascular ultrasound to optical coherence tomography to coronary computed tomography angiography combined with advances in calcium debulking and modification techniques, CACs are now targets for intervention with growing success. This review will summarize the most recent developments in the diagnosis and characterization of CAC, offer a comparison of the aforementioned imaging technologies including which ones are most suitable for specific clinical presentations, and review the CAC modifying therapies currently available. |
| first_indexed | 2024-04-09T19:14:17Z |
| format | Article |
| id | doaj.art-1d758676019842efb69c508e91ff50a9 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-09T19:14:17Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-1d758676019842efb69c508e91ff50a92023-04-06T06:17:38ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-04-011010.3389/fcvm.2023.11335101133510The role of invasive and non-invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcificationsSamuel B. Wopperer0Rafail Kotronias1Federico Marin2Stefano Benenati3Francesco Della Mora4Francesco Della Mora5Leonardo Portolan6Adrian P. Banning7Giovanni Luigi De Maria8Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United StatesOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, Oxford, United KingdomOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, Oxford, United KingdomOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, Oxford, United KingdomOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, Oxford, United KingdomDivision of Cardiology, Department of Medicine, University of Verona, Verona, ItalyDivision of Cardiology, Department of Medicine, University of Verona, Verona, ItalyOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, Oxford, United KingdomOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, Oxford, United KingdomThe treatment of coronary artery disease (CAD) has advanced significantly in recent years due to improvements in medical therapy and percutaneous or surgical revascularization. However, a persistent obstacle in the percutaneous management of CAD is coronary artery calcification (CAC), which portends to higher rates of procedural challenges, post-intervention complications, and overall poor prognosis. With the advent of novel multimodality imaging technologies spanning from intravascular ultrasound to optical coherence tomography to coronary computed tomography angiography combined with advances in calcium debulking and modification techniques, CACs are now targets for intervention with growing success. This review will summarize the most recent developments in the diagnosis and characterization of CAC, offer a comparison of the aforementioned imaging technologies including which ones are most suitable for specific clinical presentations, and review the CAC modifying therapies currently available.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1133510/fullnon-invasiveinvasivecoronarycalciumimaging |
| spellingShingle | Samuel B. Wopperer Rafail Kotronias Federico Marin Stefano Benenati Francesco Della Mora Francesco Della Mora Leonardo Portolan Adrian P. Banning Giovanni Luigi De Maria The role of invasive and non-invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcifications Frontiers in Cardiovascular Medicine non-invasive invasive coronary calcium imaging |
| title | The role of invasive and non-invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcifications |
| title_full | The role of invasive and non-invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcifications |
| title_fullStr | The role of invasive and non-invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcifications |
| title_full_unstemmed | The role of invasive and non-invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcifications |
| title_short | The role of invasive and non-invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcifications |
| title_sort | role of invasive and non invasive imaging technologies and calcium modification therapies in the evaluation and management of coronary artery calcifications |
| topic | non-invasive invasive coronary calcium imaging |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1133510/full |
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