Calcified lesions

Find all the latest content on calcified lesions published on this website.

This section revolves around the complexity of calcified coronary lesions and their treatment, from specialised balloon technology to atherectomy devices and lithotripsy. Learn all about the value of invasive imaging and coronary physiology, with many clinical cases showing various treatment modalities and strategies.

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Innovative solutions in complex coronary lesions - Part 3

18 May 2022 – From EuroPCR 2022

Watch these videos to discover some innovative solutions in complex coronary lesions, thanks to a selection of cases: a 27-year-old woman with STEMI and multiple culprit lesions, an unusual communication between aorta and the heart, CTO RCA done with retrograde approach with reverse CART technique, and more!

Innovative solutions in complex coronary lesions

Invasive imaging and functional assessment

18 May 2022 – From EuroPCR 2022

Watch this session on invasive imaging and functional assessment to learn more about the role of intravascular imaging (OCT and IVUS) in guiding and optimizing complex PCI in calcified lesions.

Invasive imaging and functional assessment

TAVI indications in complex situations

18 May 2022 – From EuroPCR 2022

Watch this session on TAVI to learn how to perform this procedure in complex situations, such as: acute myeloid leukemia and severe bicuspid aortic valve stenosis, pulmonary edema due to severe aortic stenosis, angina with complex coronary artery disease, and more!

TAVI indications in complex situations

Complex PCI after bypass grafts failure

17 May 2022 – From EuroPCR 2022

Discover the case of a 76 year-old female patient presenting with unstable angina, history of CABG and SVG and various risk factors (dyslipidemia, hypertension and type 2 diabetes). Angiography revealed a severe calcification of left main and left anterior descending artery with a tight stenosis, a...

Complex PCI after bypass grafts failure

Severe coronary calcification: a setting for more than one lesion preparation method

17 May 2022 – From EuroPCR 2022

Discover the case of a 85 year-old male patient with an inferior NSTEMI, a severely reduced LVEF 20%, a symptomatic COVID-19 infection and various comorbidities. The RCA subocclusion was successfully stented, while the predilation of the proximal LAD calcification remained unsuccessful. How did the team treat...

Severe coronary calcification: a setting for more than one lesion preparation method

The freaky and rocky road

17 May 2022 – From EuroPCR 2022

Discover the case of a 85 year-old female patient presenting with angina during dialysis and LVEF 55% with hypokinesia in inferior wall. Angiogram reveals an anomalous RCA from left sinus with a mid-RCA calcified CTO. Watch the video to learn more about the treatment's option!

The freaky and rocky road

Complex primary PCI (part I)

17 May 2022 – From EuroPCR 2022

Consult this session to discover a selection of complex primary PCI cases: rock hard calcified lesions, RCA occlusion with critical LAD stenosis, occluded proximal left anterior descending artery difficult to expand, and more!

Complex primary PCI (part I)

TAVI in severe calcified anatomy

17 May 2022 – From EuroPCR 2022

Consult this session to discover some complex TAVI cases in severe calcified anatomy, such as: high-risk aortic stenosis patient treated with orbital atherectomy, IVL and TAVI, antegrade-retrograde technique in uncrossable aortic valve, TAVI in severe calcified bicuspid aortic valve with LV apical clot, and much more!

TAVI in severe calcified anatomy

Complex TEVAR

17 May 2022 – From EuroPCR 2022

Consult this session on complex TEVAR to discover some challenging cases: aortic arch debranching and TEVAR with mixed reality support, TEVAR in severely calcified and enormously tortuous aorta and iliacs, and more!

Complex TEVAR

Complex PCI with haemodynamic robotic support

17 May 2022 – From EuroPCR 2022

Consult this session on complex PCI with haemodynamic robotic support to discover a selection of challenging cases: PulseCath iVAC facilitation of complex PCI in young patient, rescue PCI of an intra-operatively injured anomalous coronary in a one-year-old, severe calcified LAD lesion supported by Impella and prepared with Diamond...

Complex PCI with haemodynamic robotic support

A case of severe aortic stenosis and severe calcified ostial RCA disease

01 Jun 2022

Techniques to manage simultaneously severe calcified aortic stenosis and severe heavily calcified ostial RCA disease combining TAVI and ROTABLATION.

Petros Dardas

Author

Petros Dardas
Nikolaos Mezilis

Author

Nikolaos Mezilis
A case of severe aortic stenosis and severe calcified ostial RCA disease

Coronary lithotripsy for the treatment of underexpanded stents: the international multicentre CRUNCH registry

11 Apr 2022

CRUNCH registry aimed to investigate the safety and efficacy of intravascular lithotripsy in the setting of resistant stent under expansion due to underlying calcific plaques.

Reviewer

Ali Nazmi Calik
Ismail Polat Canbolat

Reviewer

Ismail Polat Canbolat
Coronary lithotripsy for the treatment of underexpanded stents: the international multicentre CRUNCH registry

How to manage a calcified LM bifurcation?

05 Apr 2022

Find out more about an 87-year-old male patient with PCI mid-LAD with BMS 9/1998, several risk factors, preserved LVEF and eGFR, symptomatic with unstable angina, and on medical therapy...

Konstantinos Bermpeis

Author

Konstantinos Bermpeis
Marta Belmonte

Author

Marta Belmonte
Prof. Emanuele BARBATO

Author

Emanuele Barbato
How to manage a calcified LM bifurcation?

How should I treat? - An innovative approach to treat diffuse disease

23 Feb 2022

An 81-year-old gentleman with a history of dyslipidemia, hypertension, presenting a new onset of angina and dyspnea in the last 2 years underwent exertional test which resulted positive for ischemia.

Alessandro Sticchi

Author

Alessandro Sticchi
How should I treat? - An innovative approach to treat diffuse disease

IMPELLA protected PCI and intravascular lithotripsy in a calcified degenerated saphenous vein graft

27 Jan 2022

Find out more about a 77-year-old male patient with hypertension without good BP control, dyslipidaemia, Type II-DM, ex-smoker, who had triple CABG in 2006, EF 60% in 2017, and presented with dyspnea. 

Author

Flavio Luciano Ribichini
Gabriele Pesarini

Author

Gabriele Pesarini
IMPELLA protected PCI and intravascular lithotripsy in a calcified degenerated saphenous vein graft

How should I treat? - TAVI in small anatomy with significant LVOT calcification

20 Jan 2022

An 89-year-old man was referred for treatment of severe symptomatic aortic stenosis. This case describes the decision-making in performing TAVI in a patient with twin challenges of small annulus and significant LVOT calcification.

Author

Dan Blackman
Cunnington Michael

Author

Cunnington Michael
Chris Malkin

Author

Christopher Malkin
How should I treat? - TAVI in small anatomy with significant LVOT calcification

Approach to calcified lesions and role of plaque modification and intravascular imaging to obtain optimal PCI - Session with LIVE case

15 Dec 2021 – From GulfPCR-GIM 2021

Watch the case of a 55-year-old male patient who is a diabetic on insulin and hypotensive, who initially presented with NSTEMI and 3-vessel disease but declined CABG before being readmitted with unstable angina.

Approach to calcified lesions and role of plaque modification and intravascular imaging to obtain optimal PCI

How to use devices efficiently in calcified lesions

15 Dec 2021 – From GulfPCR-GIM 2021

This case-based and practical guidance session will enable you to know how to tailor the available technology for lesions with high calcium content, understand the limitations of each device used for plaque modification, and overcome difficulties with each modality.

How to use devices efficiently

Challenging routes for TAVI

21 Nov 2021 – From PCR London Valves 2021

Watch this PCR London Valves 2021 session to look at transfemoral TAVR in patient with severe stenosis of iliac artery, to appreciate a transfemoral aortic valve replacement in a patient affected by abdomen aorta barrage, and more!

Challenging routes for TAVI

Left main bifurcation with DK crush technique

09 Oct 2021 – From AICT-AsiaPCR 2021

Don't miss this session from AICT-AsiaPCR 2021 if you wish to understand how imaging can help in strategising the PCI procedure in a calcified vessel, or to be familiar with how to perform bifurcation PCI of left main and LAD/D1 with two-stent technique, among others!

Left main bifurcation