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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Complications: bifurcation lesions and left main

12 May 2021 – From EuroPCR 2021

Thanks to this session, study distal coronary artery perforation in left anterior descending artery bifurcation stenting, witness perforation, stent thrombosis, and left main dissection during one CTO intervention, and more!

Complications: bifurcation lesions and left main

Complications: stable CAD & other coronary interventions

12 May 2021 – From EuroPCR 2021

Have a look at this session if you wish to learn how to handle right coronary artery perforation in a calcified vessel, analyze barotrauma-induced perforation, discover an innovative technique to seal distal wire perforation, and more!

EuroPCR 2021 Complications: stable CAD & other coronary interventions

Complex rotational atherectomy

12 May 2021 – From EuroPCR 2021

This session will be useful if you wish to find out more about heavy coronary calcification and wire entrapment, underestimated type A lesion, no-option critical 3 vessel CAD, and more!

EuroPCR 2021 Complex rotational atherectomy

Tips & tricks in bifurcation stenting - Part 1

12 May 2021 – From EuroPCR 2021

Watch this session to get acquainted with a novel bifurcation stenting technique in an unusual situation, to learn how to prepare a calcific bifurcating lesion, to study a novel technique for coronary bifurcation lesions, and more!

EuroPCR 2021 Tips & tricks in bifurcation stenting - Part 1

A “perfect” case for rotational atherectomy…

11 May 2021

A 74-year-old, obese, smoker, hypertensive male patient with significant COPD is seen for worsening symptoms of stable angina CCS II. As this is a high-risk profile, and given the typical symptoms observed, a coronary angiogram is recommended as the first-line examination.

Author

Flavio Luciano Ribichini
A “perfect” case for rotational atherectomy…

Calcified arteries: rotablation, lithotripsy or both? - Part 3

28 Apr 2021 – From EuroPCR 2021

This session aims at helping you learn how to face a right coronary artery calcium storm with undilatable lesions, find out more about PCI of a heavily calcified aorto-ostial RCA lesion, and analyze how to react when facing a calcific tortuous RCA with lesion on bend.

EuroPCR 2021 Calcified arteries: rotablation, lithotripsy or both? - Part 3

Calcified arteries: rotablation, lithotripsy or both? - Part 1

28 Apr 2021 – From EuroPCR 2021

Thanks to this session, you will discover the contemporary ROTA-SHOCK-PUMP approach, compare traditional and innovative techniques to treat severe calcified stenosis, learn how to handle a coronary lithotripsy after rotational atherectomy in the presence of haematoma, and much more!

EuroPCR 2021 Calcified arteries: rotablation, lithotripsy or both? - Part 1

Calcified arteries: rotablation, lithotripsy or both? - Part 2

28 Apr 2021 – From EuroPCR 2021

This session will enable you to learn how to react when facing severely calcified lesion in a STEMI setting, how to grasp the problem of acute coronary syndrome calcified TVD with SVG graft occlusion, post CABG, and how to handle a stent ablation in a patient with...

EuroPCR 2021 Calcified arteries: rotablation, lithotripsy or both? - Part 2

TAVI in a grey zone - Part 2

28 Apr 2021 – From EuroPCR 2021

Thanks to this session, study TAVI in case of Fabry disease, analyze severe aortic valve stenosis with cardiogenic shock requiring ECMO, get the chance to examine TAVI in challenging valve position with calcified aortic valve, and much more!

EuroPCR 2021 - TAVI in a grey zone - Part 2

EAPCI-PCR Fellows Course 2021 - Coronary track: Interventions for calcified coronary lesions

14 Apr 2021 – From EuroPCR 2021

The role of imaging for procedural planning and the best indications for specific plaque modification techniques!

The EAPCI-PCR Fellows Course is a project supported by the New Initiatives For Young Interventionalists Committee (NIFYI) and PCR NextGen, and is intended for practitioners at the beginning of their careers....

EAPCI-PCR Fellows Course 2021 Replay available - Interventions for calcified coronary lesions

TAVI in a grey zone - Part 1

14 Apr 2021 – From EuroPCR 2021

In this very interesting session about TAVI, look over single arm approach for TAVI, discuss TAVI during pregnancy, learn more about the chaperone technique, and much more!

EuroPCR 2021 TAVI in a grey zone - Part 1

How to tackle calcified lesions for a good outcome

14 Apr 2021 – From EuroPCR 2021

View this session if you're interested in CHIP PCI in ACS with heart failure and high bleeding risk, calcific left main stem restenosis after prior treatment with lithotripsy, calcific restenosis and tight distal narrowing, and much more!

EuroPCR 2021 How to tackle calcified lesions for a good outcome

Stent dislodgement / Fracture - Part 2

14 Apr 2021 – From EuroPCR 2021

This session will help you learn more about bail out strategies in case of stent fracture, especially when facing calcified lesions, analyze post left main stenting sparkle in aorta, find out more about floating left anterior descending artery stents, and more!

EuroPCR 2021 Stent dislodgement / Fracture - Part 2

Coronary atherectomy via guide extension catheter for bending calcified lesions

25 Mar 2021

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...

Yoshinobu Murasato

Author

Yoshinobu Murasato

Author

Kyohei Meno

Author

Takahiro Mori

Author

Shoko Fukuda

Author

Soichiro Omura

Author

Katsuhiko Takenaka
Coronary atherectomy via guide extension catheter for bending calcified lesions

Intercostal embolization of a stuck rotational atherectomy burr

02 Mar 2021

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...

Embolization of a rotational atherectomy burr

How should I treat underexpanded coronary stents due to severe coronary calcification?

11 Feb 2021

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...

How should I Treat underexpanded coronary stents due to severe coronary calcification?

Rotational atherectomy and trans-apical TAVI in severe calcified CAD and PAD

14 May 2020

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...

Gabriele Pesarini

Author

Gabriele Pesarini
Simone Fezzi

Author

Simone Fezzi
Rotational atherectomy and trans-apical TAVI in severe calcified CAD and PAD

Rotational atherectomy supported-PCI of a sub-occlusive calcified ostial RCA lesion through an Evolut R aortic valve

15 Apr 2020

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

Gabriele Pesarini

Author

Gabriele Pesarini
Mattia Lunardi

Author

Mattia Lunardi
Rotational atherectomy supported-PCI of a sub-occlusive calcified ostial RCA lesion through an Evolut R aortic valve

How to use a Rotablator as single operator

24 Mar 2020

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.

Dr. Joshua Loh

Author

Joshua Loh
My toolkit: How to use a Rotablator as single operator

Management of multi-vessel calcified coronary artery disease in acute myocardial infarction complicated by cardiogenic shock

17 Mar 2020

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...

Author

Flavio Luciano Ribichini
Gabriele Pesarini

Author

Gabriele Pesarini
Management of multi-vessel calcified CAD in AMI complicated by cardiogenic shock