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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PCI for complex left main disease - LIVE Case

23 May 2025 – From EuroPCR 2025

An 82-year-old male patient with a history of STEMI and diagonal PCI (2004) presented with stable angina (CCS 2). CT imaging revealed 2 severe LAD stenoses (at the ostium and mid part), and a severe bifurcation stenosis at the Cx/OM1 confirmed by angiography. A staged PCI...

PCI for complex left main disease - LIVE Case

Best companions's case on complications in calcified lesions

22 May 2025 – From EuroPCR 2025

Delve into challenging cases involving complications in calcified coronary lesions managed with rotational atherectomy. Topics include unique uses of Rotablation, managing burr entrapment, complex calcium and tortuosity combinations, and addressing perforations resulting from stent optimization and burr retrieval in highly calcified vessels.

Best companions's case on complications in calcified lesions

Challenges and risks of percutaneous treatment of calcified lesions

22 May 2025 – From EuroPCR 2025

Learn how to effectively manage calcified coronary lesions and their associated risks in this focused session. Understand the critical role of plaque modification and intravascular imaging, and gain insights into addressing stent thrombosis following interventions on calcified lesions through detailed case analyses.

Challenges and risks of percutaneous treatment of calcified lesions

LV support for very high risk PCI of calficied lesions

22 May 2025 – From EuroPCR 2025

Discover the role of left ventricular (LV) support in performing very high-risk PCI on heavily calcified lesions. This session highlights techniques for navigating complex calcified coronary anatomies using Impella support, strategies for metal casing reshaping, and management of acute MI and cardiac arrest scenarios. Explore alternative...

LV support for very high risk PCI of calficied lesions

PCI for complex calcific coronary artery disease - LIVE Case

22 May 2025 – From EuroPCR 2025

An 87-year-old female patient, at high bleeding risk and with preserved LV function, presented 2 months ago with an inferior STEMI and multivessel disease. She initially underwent RCA PCI followed by staged LCx PCI. She was now referred for PCI of a long, heavily calcified lesion...

PCI for complex calcific coronary artery disease - LIVE Case

Best companions's case on complications in calcified lesions: episode 2

22 May 2025 – From EuroPCR 2025

Join this session examining complex complications in calcified lesion interventions. Learn from cases featuring controversial approaches that successfully resolved issues, coronary perforation management, retrograde iatrogenic dissection after lithotripsy, and algorithmic bailout strategies essential for navigating challenging calcified lesion complications.

Best companions's case on complications in calcified lesions: episode 2

Challenging session in calcified lesions

22 May 2025 – From EuroPCR 2025

Engage with a challenging session focused on complex calcified lesion interventions. Topics include innovative triple burr techniques, OCT insights into resistant lesions, volume reduction strategies, eccentric calcium management, and IVUS-guided left main calcified lesion treatment, highlighting practical approaches to difficult cases.

Challenging session in calcified lesions

Best companion's cases on orbital atherectomy

22 May 2025 – From EuroPCR 2025

Dive into advanced cases demonstrating orbital atherectomy techniques for managing challenging calcified coronary lesions. This session includes innovative approaches such as 'sand and knock' calcium modification, orbital atherectomy in complex anatomies, and the use of optical coherence tomography to guide percutaneous treatment of calcified nodules.

Best companion's cases on orbital atherectomy

How to address the problem of calcified left main lesions

22 May 2025 – From EuroPCR 2025

Gain expert perspectives on addressing calcified left main coronary lesions in high-risk and complex clinical scenarios. This session features challenging cases including ACS patients with reduced LVEF, severe calcified stenosis of left main bifurcation, complex PCI in post-CABG octogenarians with rotablation under Impella support, and other...

How to address the problem of calcified left main lesions

Calcified un-dilatable lesions in ACS: what should I do?

22 May 2025 – From EuroPCR 2025

Address the challenges of severely calcified undilatable lesions during acute coronary syndrome PCI. This session reviews the impact of coronary calcification on PCI strategy, highlights pitfalls in lesion preparation, and presents detailed case studies demonstrating effective treatment approaches.

Calcified un-dilatable lesions in ACS: what should I do?

Calcium modification: contemporary comparaisons of atherectomy and IVL

22 May 2025 – From EuroPCR 2025

Compare contemporary calcium modification techniques including atherectomy and intravascular lithotripsy (IVL) in complex coronary lesions. Review clinical outcomes, procedural case studies, and registry data highlighting safety and efficacy in acute coronary syndrome and high-risk patients.

Calcium modification: contemporary comparaisons of atherectomy and IVL

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

Choices, choices: a global perspective on multiple modalities for calcium modification

21 May 2025 – From EuroPCR 2025

Gain a global perspective on multiple modalities for calcium modification in coronary interventions. This session reviews comparative analyses of orbital, shockwave, rotational atherectomy, and cutting balloons, explores evolving rotational atherectomy practices in the era of intravascular lithotripsy, and presents preliminary data from international registries on coronary...

Choices, choices: a global perspective on multiple modalities for calcium modification

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

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

Calcified nodules: a different beast?

21 May 2025 – From EuroPCR 2025

This session offers a comprehensive exploration of calcified nodules, a challenging entity in PCI. Learn to identify these nodules with IVUS and OCT, understand their unique treatment challenges, and select optimal plaque modification tools through detailed case discussions.

Calcified nodules: a different beast?

Treat calcium right the first time: new considerations for PCI planning and device selection to optimise outcomes

21 May 2025 – From EuroPCR 2025

Watch this EuroPCR 2025 session to learn how intravascular lithotripsy (IVL) is transforming the management of coronary artery calcification (CAC). Discover the new CALC roadmap, a comprehensive framework guiding device selection and treatment strategies based on calcium burden, anatomy, and patient gender. Follow a real-world clinical...

Treat calcium right the first time: new considerations for PCI planning and device selection to optimise outcomes

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

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

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