Calcified lesions

It is challenging to treat bending calcified coronary lesions with CA. Using a guide extension catheter-supported back-up force to advance a bulky atherectomy device and a guidewire bias to the calcified lesion enabled imaging observation and sufficient dilation using a scoring balloon, which led to stent-less...

An elective right coronary artery PCI was scheduled in an 83-year-old gentleman. Due to the presence of severely diffuse and calcified disease, rotational atherectomy was decided, but the burr got entrapped in the severely calcified and tortuous proximal segment of the artery...

An 81-year-old male underwent PCI of an extensively calcified LAD coronary artery. Lesion preparation was done using cutting and scoring balloons, followed by drug-eluting stent implantation. Despite serial dilations, including the use of a very High-Pressure NC balloon, stent expansion could not be achieved...

Watch this session to see the optimised outcome of the orbital atherectomy system for severely calcified coronary lesions and to understand how orbital atherectomy can fit into the daily practice within calcified coronary lesions.

This session was originally presented during GulfPCR-GIM 2020.

Rotablation is an essential tool for contemporary PCI in managing heavily calcified vessels, but complications can occur. We describe a planned rotablation case in which the burr fractured the rotawire and exited the vessel architecture.

At TCT Connect 2020, Dean Kereiakes presented the results of the Disrupt CAD III trial. Giuseppe Di Gioia and Dejan Milasinovic provide a summary of the key messages.

The goal of the present post hoc analysis of the CLIMA registry was to establish the relationship between calcified nodules (CNs) with (CND) or without (CNWD) disruption of the superficial intimal fibrous layer and one-year occurrence of target lesion myocardial infarction (MI) and/or cardiac death.

Despite the use of rotational atherectomy (RA) in interventional cardiology for over three decades, data regarding factors affecting the clinical outcomes of the RA procedure remain scarce. The aim of the present study was to describe the contemporary use and outcomes of RA in Europe..

Watch this session if you want to identify calcified lesions that require plaque modification, to differentiate the respective indications for different devices and to comprehend the essential procedural steps for each tool.

This session was originally presented during PCR e-Course 2020.

Watch this session if you want to understand how intravascular lithotripsy works through real-world cases, to hear from global leading physicians about where intravascular lithotripsy fits into their clinical practice and to hear about some of the most prominent cases of coronary intravascular lithotripsy.

Watch this Investigator Interview if you want to understand the challenges of treating eccentric calcium, to learn about the initial IVL clinical experience in eccentric calcium and to realise best practices when treating eccentric calcium with IVL

Speaker: Holger Nef

This interview supported by Shockwave Medical was filmed at...

Watch this session if you want to advance your knowledge in imaging assessment of complex calcified aortic stenosis and to learn about device selection and implantation technique in calcified anatomies.

An 83-year-old male admitted for heart failure and chest pain, needs to undergo TA-TAVI because of severe PAD and has concomitant CAD with critical calcified lesion of the ULM-LAD...

View this case of an 81-year-old man with severely calcified critical stenosis at ostial-prox RCA...

A single operator technique simplifies the procedure and removes the dependence on having a trained assistant. Discover the tips and solutions proposed by Joshua Loh.

View this case of a 79-year-old woman complaining of atypical chest pain for 3 months, with diabetes and end-stage chronic kidney disease. Coronary CT revealed diffuse calcifications BUT critical coronary artery stenosis was excluded...

View this case of a 57-year-old woman, with a negative cardiovascular history, but who is a heavy smoker (40xday >20 years) and hypertensive, and who suffered typical chest pain at rest. She arrived at the Emergency Room of a peripheral hospital without a cathlab facility. Her...

74-year-old man with chest pain and a positive stress test with calcified coronary lesions. Nice example of calcium modification after rota burr in Optical Coherence Tomography.

Consult this session dedicated to the Diamondback 360 coronary orbital atherectomy system to learn more about how this tool optimise the outcomes for coronary lesion preparation, how orbital atherectomy may fit into your daily practice, and what is the "must have" tool box for calcified coronary lesions.

View this case of a 79-year-old male with a diagnosis of hepatocarcinoma and severe AVS, mild mitral regurgitation and AF under oral anticoagulation who was admitted for TAVI…