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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Undilatable calcific lesion even after rotational atherectomy

19 Dec 2019

View this very uncommon case in which balloons do not expand even after a rather aggressive rotational atherectomy: a 43-year-old male with hypertension, smoking and dyslipidemia presents with total occlusion of proximal left anterior descending artery with fresh thrombus...

Author

Flavio Luciano Ribichini
Concetta Mammone

Author

Concetta Mammone
Undilatable calcific lesion even after rotational atherectomy

An NSTEMI case due to a severe LM calcific sub-occlusive stenosis

22 Oct 2019

View this case of an 85-year-old woman, hypertensive under medical therapy with no previous medical or surgical history, who called the emergency services about chest pain and shortness of breath...

Author

Flavio Luciano Ribichini
NSTEMI case due to a severe LM calcific sub-occlusive stenosis

How should I treat with rotational atherectomy a TAVI candidate

18 Sep 2019

This is the case of an 84-year-old woman in good general condition, with severe AVS on medical management, chronic atrial fibrillation and admitted with heart failure and chest pain...

Author

Flavio Luciano Ribichini
RA after TAVI

Rotational atherectomy in anterior STEMI

20 Aug 2019

This is the case of an 83-year-old woman with arterial hypertension, hypercolesterolemia, onset of continuous chest pain at rest with anterior STEMI on ECG and medicated with ASA and Ticagrelor and transferred to the cathlab.

Author

Flavio Luciano Ribichini
Rotational atherectomy in anterior STEMI

Managing calcified lesion: a never ending challenge

05 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to learn more about the various techniques to treat calcified lesion (OPN, tornus, laser, rotablation, orbital atherectomy, shock wave lithotripsy), and how to deal with potential complications.

Managing calcified lesion: a never ending challenge

Calcified lesions

05 Jul 2019 – From AICT-AsiaPCR 2019

Watch this LIVE demonstration from National University Heart Centre (Singapore) to discover how they managed the case of a 69 years-old male with diabetes, hypertension and hyperlipidemia suffering from a calcified triple vessel disease.

Calcified lesions

Calcified left main lesion PCI

05 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to discover the key clinical data and angiographic reference of a patient presenting with calcified left main lesion PCI.

Calcified left main lesion PCI

Complex distal left main bifurcation lesion

04 Jul 2019 – From AICT-AsiaPCR 2019

A 75-year-old male with multiple risk factors and a history of NSTEMI is admitted for staged PCI to his left main bifurcation. His vessels are diffusely calcified…

Complex distal left main bifurcation lesion

Defining together a treatment strategy for calcified CAD in a patient with multivessel disease

20 Jun 2019

This is the case of a 68 year old female patient, autonomous and physically robust. She has been diabetic for 10 years, but without cardio-vascular antecedents. She was admitted for chest pain at rest, lasting around 70 minutes with signs of STEMI in the inferior leads...

Author

Flavio Luciano Ribichini
Strategy for calcified CAD in a patient with MVD

Step-by-step decision planning on how to deal with a «simple surgical case», but a potentially troublesome PCI lesion

25 Jul 2019

This is the case of an 84 year old man, widower, with initial cognitive decay, living with his sons and daugthers - non autonomous but physically robust. He was admitted for chest pain at rest after weeks of worsening angina, and underwent coronary angiography within 48h...

Author

Flavio Luciano Ribichini
Step-by-step decision planning on how to deal with a «simple surgical case», but a potentially troublesome PCI lesion

Prevention and management of complications during PCI for calcified lesions

24 May 2019 – From EuroPCR 2019

Consult this session to discover how to successfully prevent and manage complications during PCI for calcified lesions, thanks to a better preparation and organization of the team, but also tools such as shockwave catheter to prepare the stenting zone.

Prevention and management of complications during PCI for calcified lesions

Rotational atherectomy for the treatment of calcified CTO

24 May 2019 – From EuroPCR 2019

Consult this session on calcified CTO to learn all about rotational atherectomy treatment strategy to ensure a successful recanalisation in complex clinical cases.

Rotational atherectomy for the treatment of calcified CTO

Treatment of calcified coronary lesions: rotablation and beyond

24 May 2019 – From EuroPCR 2019

Consult this session on calcified coronary lesions to learn all about treatment strategies, with clinical cases such as in-stent stenosis due to stent underexpansion, rotablation and provisionnal stenting approach, and more!

Treatment of calcified coronary lesions: rotablation and beyond

Complicated PCI of heavily calcified stenosis

23 May 2019 – From EuroPCR 2019

Consult this session on complicated PCI of heavily calcified stenosis and discover compelling clinical cases, involving a rotablator stuck in left anterior descending, pericardial tamponade, and more!

Complicated PCI of heavily calcified stenosis

Cracking the rock - The challenge of complex calcified lesions

23 May 2019 – From EuroPCR 2019

Consult this session on complex calcified lesions to learn more about the right strategy to deal with a calcified lesion, what kind of tools are needed to debulk calcium, how to get an optimal result of PCI of a calcified lesion, and more!

Cracking the rock - The challenge of complex calcified lesions

Strategies for the treatment of calcified coronary artery lesions

23 May 2019 – From EuroPCR 2019

Consult this session to discover various treatment strategies for calcified coronary artery lesions, such as Rota-Shock PCI, coronary lithoplasty with 4mm balloon, and more!

Strategies for the treatment of calcified coronary artery lesions

Update on management of complex calcified coronary lesions

23 May 2019 – From EuroPCR 2019

Consult this session to discover updates on the management of complex calcified coronary lesions, to better understand which cases may be almost impossible to stent, to learn techniques to make stenting possible, and more!

Update on management of complex calcified coronary lesions

Complex PCI in calcified arteries and more...

22 May 2019 – From EuroPCR 2019

Consult this session on complex PCI in calcified arteries to discover various compelling clinical cases, such as a stent avulsion in a calcified artery in AMI, a recurrent NSTEMI caused by spontaneous multivessel coronary intramural haematoma, and more!

Complex PCI in calcified arteries and more...

Prison break: interventions for resistant calcified lesions

22 May 2019 – From EuroPCR 2019

Consult this session to discover various compelling interventions for resistant calcified lesions, using interesting tools and techniques, such as intravascular lithotripsy, double atherectomy devices, "grenade technique", and more!

Prison break: interventions for resistant calcified lesions

Rotational atherectomy for the treatment of heavily calcified coronary lesions - Part 2

22 May 2019 – From EuroPCR 2019

Consult this session on heavily calcified coronary lesions to learn all about how to successfully perform the rotational atherectomy technique in challenging cases.

Rotational atherectomy for the treatment of heavily calcified coronary lesions - Part 2