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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Management of heavy calcified bifurcation lesions

21 May 2025 – From EuroPCR 2025

This session focuses on the management of heavily calcified bifurcation lesions using advanced techniques such as IVUS guided guidewire recrossing and orbital atherectomy. Learn step-by-step approaches to tackle complex calcific coronary bifurcations and improve procedural success.

Management of heavy calcified bifurcation lesions

Calcified lesions: preparing for the battlefield

21 May 2025 – From EuroPCR 2025

Prepare to tackle calcified coronary lesions with expertise in imaging interpretation and calcium modification tools. This session covers IVUS and OCT use, preparation techniques, and enhancing team communication to optimize procedural outcomes in complex cases.

Calcified lesions: preparing for the battlefield

Best companion's case on rotational atherectomy

21 May 2025 – From EuroPCR 2025

Discover expert approaches to rotational atherectomy guided by intravascular ultrasound (IVUS) in treating severely calcified coronary lesions. This session presents complex cases including high-risk LAD tandem lesions and ostial calcification, showcasing the utility of multi-axis rotablation techniques for safe and effective lesion modification.

Best companion's case on rotational atherectomy

How imaging can help us in recognising the problem and identifying the solution?

20 May 2025 – From EuroPCR 2025

This session delves into the pivotal role of imaging in the cath lab for identifying rare and complex coronary artery conditions. Explore cases ranging from honeycomb coronary artery to acute coronary syndrome guided by intravascular imaging, and learn how reflected light and calcium changes help diagnose...

How imaging can help us in recognising the problem and identifying the solution?

Devices combination for calcified lesion

20 May 2025 – From EuroPCR 2025

Discover effective device combinations and strategies for managing heavily calcified coronary lesions. This session covers lesion planning using coronary orbit mapping, OCT-guided calcium node identification, rotatripsy techniques, and approaches to complex ostial right coronary artery occlusions, providing practical solutions to challenging calcium riddles.

Devices combination for calcified lesion

Complex PCI in calcific coronary artery disease - LIVE Case

20 May 2025 – From EuroPCR 2025

A 76-year-old male patient presented with a significant history of coronary artery disease: CABG with LIMA/LAD and RIMA/OM (1996), RCA PCI with BVS (2016), OM PCI (2017), RIMA occlusion and OM retenosis treated with DCB (2022) with preserved LV. He was admitted for pre-operative evaluation prior...

Complex PCI in calcific coronary artery disease - LIVE Case

New evidence for treatment of calcified coronary artery disease

20 May 2025 – From EuroPCR 2025

Explore the latest randomized trials and studies advancing the treatment of calcified coronary artery disease. This session covers cutting balloon use, lithotripsy versus conventional preparation, and one-year outcomes comparing rotational atherectomy, lithotripsy, and laser. Also highlighted is the EMPOWER CAD study focusing on women treated with...

New evidence for treatment of calcified coronary artery disease

My approach for a calcified bifurcation lesion

20 May 2025 – From EuroPCR 2025

This session provides a comprehensive approach to managing calcified bifurcation lesions. Learn how to interpret angiographic and intravascular imaging, plan interventions with appropriate devices for simplicity and safety, and evaluate final results to understand their clinical impact through real cases.

My approach for a calcified bifurcation lesion

PCR's Got Talent Round 1 - Session 1

20 May 2025 – From EuroPCR 2025

Experience a diverse range of cutting-edge interventional cardiology topics in PCR's Got Talent Round 1. This session features presentations on PFO closure outcomes, plaque morphology, vascular injury treatments, microvascular disease assessment, TAVI-related coronary obstruction prediction, novel FFR surrogates, and more.

PCR's Got Talent Round 1 - Session 1

Personalised Vascular Care Award - Competition

20 May 2025 – From EuroPCR 2025

Celebrate innovation in personalised vascular care through this award competition session. Presentations cover topics including coronary revascularisation decision-making, INOCA prevalence, endothelial shear stress, bifurcation stenting predictors, CT plaque analysis, and early STEMI discharge protocols.

Personalised Vascular Care Award - Competition

PCR's Got Talent Round 1 - Session 2

20 May 2025 – From EuroPCR 2025

Join the dynamic PCR's Got Talent Round 1 - Session 2 featuring cutting-edge research and innovations in interventional cardiology. Highlights include complex CTO PCI strategies, valve comparisons in TAVI for small annuli, PFO closure outcomes, long-term PCI durability, CT-guided robotic PCI, pacemaker prediction post-TAVI, and much...

PCR's Got Talent Round 1 - Session 2

Nurses and allied professionals clinical cases session

20 May 2025 – From EuroPCR 2025

Highlighting the critical role of nurses and allied professionals, this session presents clinical case discussions on managing brachial dissection, rare ACS diagnosis, coronary perforation, and rotablator complications. Emphasis is placed on teamwork and training illustrated by a case of acute transcatheter aortic valve migration to optimize...

Nurses and allied professionals clinical cases session

Complex calcified lesions: combination of intravascular imaging and orbital atherectomy for optimal outcomes

20 May 2025 – From EuroPCR 2025

In this EuroPCR 2025 session on complex calcified coronary lesions, follow a step-by-step analysis of a recorded case structured in three key phases: lesion assessment with OCT, PCI using orbital atherectomy, and post-PCI optimisation with follow-up OCT imaging. Gain valuable insights into managing severely calcified lesions,...

Complex calcified lesions: combination of intravascular imaging and orbital atherectomy for optimal outcomes

From imaging to intervention: cutting-edge solutions for calcified coronary stenoses management

20 May 2025 – From EuroPCR 2025

Watch this EuroPCR 2025 session on managing calcified coronary stenoses, featuring a recorded live case, two focused lectures, and expert faculty insights. Learn why intravascular ultrasound (IVUS) is essential for assessing lesion severity and morphology, discover how selecting the right calcium modification tools drives procedural success...

From imaging to intervention: cutting-edge solutions for calcified coronary stenoses management

How to manage the challenges of TAVI in bicuspid disease?

22 May 2025 – From EuroPCR 2025

How should TAVI be adapted to the unique challenges of bicuspid aortic valve disease? In this EuroPCR 2025 discussion, Chiara De Biase, Kentaro Hayashida, and Didier Tchetche explore the key anatomical and procedural considerations for tailoring treatment. From selecting which bicuspid anatomies are suitable for TAVI...

How to manage the challenges of TAVI in bicuspid disease?

Hotline - ACURATE neo2 under-expansion in the ACURATE IDE study: a post-hoc analysis

21 May 2025 – From EuroPCR 2025

Howard Herrmann and Raj Makkar discuss a sub-study of the ACURATE IDE trial, which examined valve under-expansion detected by fluoroscopy. Among 1,500 patients with aortic stenosis, 22 % of ACURATE neo2 valves showed under-expansion, often linked to heavy valve calcification.

Patients with under-expanded valves faced higher risks...

ACURATE neo2 under-expansion in the ACURATE IDE study: a post-hoc analysis

How to efficiently and safely manage calcified left main disease?

21 May 2025 – From EuroPCR 2025

Nicola Ryan and Flavio Ribichini explore the complexities of calcified left main stem disease, emphasizing the critical role of intracoronary imaging in improving patient outcomes. They discuss the practical use of mechanical circulatory support and debate stenting strategies, offering expert insights on when single or dual...

How to efficiently and safely manage calcified left main disease?

How to successfully approach calcified bifurcation lesions?

20 May 2025 – From EuroPCR 2025

Calcified bifurcation lesions remain one of the toughest challenges in interventional cardiology, combining two high-risk features into one complex scenario.

In this discussion, Dejan Milasinovic, Miroslaw Ferenc, and Mohamed Abdel Wahab explain why this subset deserves dedicated attention. They highlight the critical role of intra-coronary imaging to...

How to successfully approach calcified bifurcation lesions?

Calcium is not a rocket science

07 May 2025

We present the case of an 83-year-old man admitted with chronic coronary syndrome.

Coronary angiography revealed critical long calcified LAD stenosis. Complex PCI with different plaque modification techniques and intravascular imaging guiding was necessary to reach the success.

Piotr Kubler

Author

Piotr Kubler
Wojciech Zimoch

Author

Wojciech Zimoch
Wiktor Kuliczkowski

Author

Wiktor Kuliczkowski
Krzysztof Reczuch

Author

Krzysztof Reczuch
Calcium is not a rocket science

Complex PCI for severely calcified, uncrossable RCA lesion

07 Apr 2025

A 72-year-old male patient with stable coronary artery disease was admitted for recurrence of angina (CCS II/III). Coronary angiography revealed significant stenosis in the mid-portion of RCA. Ad hoc PCI of RCA was unsuccessful due to an uncrossable lesion...

Michal Hawranek

Author

Michal Hawranek
Lukasz Pyka

Author

Lukasz Pyka
Complex PCI for severely calcified, uncrossable RCA lesion