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Atherectomy for calcified coronary plaques

Summary

What is the management strategy for heavily calcified coronary stenosis? E. Barbato, F. Mangiacapra and J. Daemen offer you their expert view. How difficult is it to recognize a heavily calcified lesion? Is angiography enough? Learn why IVUS or OCT can give us a broader idea of the vessel anatomy, including identifying calcific nodules. Be confident, by using a procedure you know well; be prepared, to recognize calcification and complications. Will a rotoblator be necessary? What burr size would you use? Remember, it is not just about getting the stent across…it’s about optimal expansion. More tips and tricks?  Start here…