Contemporary Management of Severely Calcified Coronary Lesions
Coronary artery calcification is increasingly prevalent in our patient population. It significantly limits the procedural success of percutaneous coronary intervention and is associated with a higher risk of adverse cardiovascular events both in the short-term and long-term. There are several modali...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Journal of Personalized Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4426/12/10/1638 |
| _version_ | 1797472216932155392 |
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| author | Natthapon Angsubhakorn Nicolas Kang Colleen Fearon Chol Techorueangwiwat Pooja Swamy Emmanouil S. Brilakis Aditya S. Bharadwaj |
| author_facet | Natthapon Angsubhakorn Nicolas Kang Colleen Fearon Chol Techorueangwiwat Pooja Swamy Emmanouil S. Brilakis Aditya S. Bharadwaj |
| author_sort | Natthapon Angsubhakorn |
| collection | DOAJ |
| description | Coronary artery calcification is increasingly prevalent in our patient population. It significantly limits the procedural success of percutaneous coronary intervention and is associated with a higher risk of adverse cardiovascular events both in the short-term and long-term. There are several modalities for modifying calcified plaque, such as balloon angioplasty (including specialty balloons), coronary atheroablative therapy (rotational, orbital, and laser atherectomy), and intravascular lithotripsy. We discuss each modality’s relative advantages and disadvantages and the data supporting their use. This review also highlights the importance of intravascular imaging to characterize coronary calcification and presents an algorithm to tailor the calcium modification therapy based on specific coronary lesion characteristics. |
| first_indexed | 2024-03-09T19:58:58Z |
| format | Article |
| id | doaj.art-68cbb67262a247b18da793c15f682e9c |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T19:58:58Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-68cbb67262a247b18da793c15f682e9c2023-11-24T00:49:38ZengMDPI AGJournal of Personalized Medicine2075-44262022-10-011210163810.3390/jpm12101638Contemporary Management of Severely Calcified Coronary LesionsNatthapon Angsubhakorn0Nicolas Kang1Colleen Fearon2Chol Techorueangwiwat3Pooja Swamy4Emmanouil S. Brilakis5Aditya S. Bharadwaj6Division of Cardiology, Loma Linda University Medical Center, Loma Linda, CA 92354, USADepartment of Medicine, Loma Linda University Medical Center, Loma Linda, CA 92354, USADivision of Cardiology, Loma Linda University Medical Center, Loma Linda, CA 92354, USADivision of Cardiology, University of California, Riverside, CA 92521, USADivision of Cardiology, Loma Linda University Medical Center, Loma Linda, CA 92354, USAMinneapolis Heart Institute, Abbott Northwestern Hospital and Minneapolis Heart Institute Foundation, Minneapolis, MN 55407, USADivision of Cardiology, Loma Linda University Medical Center, Loma Linda, CA 92354, USACoronary artery calcification is increasingly prevalent in our patient population. It significantly limits the procedural success of percutaneous coronary intervention and is associated with a higher risk of adverse cardiovascular events both in the short-term and long-term. There are several modalities for modifying calcified plaque, such as balloon angioplasty (including specialty balloons), coronary atheroablative therapy (rotational, orbital, and laser atherectomy), and intravascular lithotripsy. We discuss each modality’s relative advantages and disadvantages and the data supporting their use. This review also highlights the importance of intravascular imaging to characterize coronary calcification and presents an algorithm to tailor the calcium modification therapy based on specific coronary lesion characteristics.https://www.mdpi.com/2075-4426/12/10/1638coronary artery calcificationintravascular imagingpercutaneous coronary intervention |
| spellingShingle | Natthapon Angsubhakorn Nicolas Kang Colleen Fearon Chol Techorueangwiwat Pooja Swamy Emmanouil S. Brilakis Aditya S. Bharadwaj Contemporary Management of Severely Calcified Coronary Lesions Journal of Personalized Medicine coronary artery calcification intravascular imaging percutaneous coronary intervention |
| title | Contemporary Management of Severely Calcified Coronary Lesions |
| title_full | Contemporary Management of Severely Calcified Coronary Lesions |
| title_fullStr | Contemporary Management of Severely Calcified Coronary Lesions |
| title_full_unstemmed | Contemporary Management of Severely Calcified Coronary Lesions |
| title_short | Contemporary Management of Severely Calcified Coronary Lesions |
| title_sort | contemporary management of severely calcified coronary lesions |
| topic | coronary artery calcification intravascular imaging percutaneous coronary intervention |
| url | https://www.mdpi.com/2075-4426/12/10/1638 |
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