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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Which techniques to improve results of PCI in calcified lesions

16 May 2024 – From EuroPCR 2024

This session comprises selected EuroPCR 2024 Clinical Case submissions focused on techniques to improve PCI outcomes in calcified lesions. It covers various case presentations and discussions, including the use of imaging to guide therapy for calcified noduli, planning strategies for tortuous and calcified lesions, managing balloon-undilatable...

Which techniques to improve results of PCI in calcified lesions

Optimising treatment for patients with severe calcified lesions: the role of orbital atherectomy

In this session featuring a LIVE case demonstration from Madrid, Spain, gain insights into identifying calcified lesions requiring plaque modification, effectively guiding lesion treatment with OCT support, and correctly applying orbital atherectomy, while sharing experiential knowledge step by step.

Optimising treatment for patients with severe calcified lesions: the role of orbital atherectomy

Mastering the future of PCI with drug-coated balloons

16 May 2024 – From EuroPCR 2024

Join this session dedicated to drug-coated balloons (DCB) to delve into the evolution of angioplasty with DCBs in the U.S. Learn about the established standard of care, balancing efficacy and safety in treating in-stent restenosis (ISR). Gain insights into the fundamental principles of angioplasty with DCB...

Mastering the future of PCI with drug-coated balloons

Identification and treatment of (sub)clinical transcatheter valve thrombosis

16 May 2024 – From EuroPCR 2024

This session offers a practical guide to CT diagnosis of HALT/RLM, highlighting the importance of taking HALT/RLM seriously and providing insights into approaching HALT/HAM and the potential impact of pharmacotherapy. Gain knowledge on determining leaflet thickening and mobility through MSCT, receive updates on antithrombotic treatment strategies...

Identification and treatment of (sub)clinical transcatheter valve thrombosis

Advancements in intracoronary imaging and intervention: unmasking vulnerable plaques and optimising durable PCI outcomes

16 May 2024 – From EuroPCR 2024

Delve into this EuroPCR 2024 session to gain insights into NIRS IVUS, exploring its applications, supported by current data, and understanding its clinical significance. Learn how to utilize NIRS IVUS in PCI planning through case examples, addressing lesion characteristics such as length and calcific nodules. Explore local...

Advancements in intracoronary imaging and intervention: unmasking vulnerable plaques and optimising durable PCI outcomes

Cracking open the discussion on the clinical experience with intravascular lithotripsy in acute coronary syndromes

16 May 2024 – From EuroPCR 2024

Explore this session to uncover the common association between calcium and acute coronary syndrome, and how intravascular lithotripsy (IVL) offers a safe solution for calcified lesions, with comparable procedural success rates. However, note that ACS cases involving calcium may lead to higher major adverse cardiac events...

Cracking open the discussion on the clinical experience with intravascular lithotripsy in acute coronary syndromes

Different procedural techniques for the treatment of heavily calcified coronary lesions

15 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 Clinical Case submissions focused on the management of heavily calcified coronary lesions. Experts will present and discuss various techniques, including the use of artificial intelligence-generated coronary CT angiography for PCI guidance, advanced calcium mapping with coronary CT, orbital atherectomy, and...

Different procedural techniques for the treatment of heavily calcified coronary lesions

Cracking the calcium code - Novelty and utility of Hertz Contact intravascular lithotripsy

15 May 2024 – From EuroPCR 2024

Follow this session to learn about the novel HC-IVL system, its application for moderate to severe calcified lesions, and procedural tips. The LithiX Hertz Contact IVL addresses unmet needs in coronary artery calcification by offering a simplified workflow with fewer devices and effective treatment for difficult...

Cracking the calcium code - Novelty and utility of Hertz Contact intravascular lithotripsy

Undilatable calcified lesion with balloon - LIVE case

15 May 2024 – From EuroPCR 2024

A 66-year-old male with a history of PAD, COPD, diabetes, and an LV function of 44% presented with unstable angina. Coronary angiography revealed a severe and heavily calcified RCA lesion undilatable with a balloon. The patient was referred to a centre specializing in calcified lesion treatment.
Using...

Calcified lesions: LIVE Educational Case

Calcified coronary lesions: procedural techniques

15 May 2024 – From EuroPCR 2024

This session, comprising selected EuroPCR 2024 Clinical Case submissions, focuses on procedural techniques for the management of calcified coronary lesions. It will feature various complex cases, including in-stent shave and debulk, damned coronary nodules, rotatripsy burring before the shock, protected high-risk PCI of a heavily calcified...

Calcified coronary lesions: procedural techniques

Different treatment options for PCI in calcified lesions

15 May 2024 – From EuroPCR 2024

This session showcases various treatment options for percutaneous coronary intervention (PCI) in calcified lesions. Attendees will learn about the use of excimer laser atherectomy, intravascular lithotripsy, and other techniques to effectively manage challenging calcified coronary lesions. The session features case presentations and discussions, providing insights into...

Different treatment options for PCI in calcified lesions

A new horizon in IVUS-guided PCI of calcified stenoses with artificial intelligence

15 May 2024 – From EuroPCR 2024

In this session, observe the enhanced user-friendliness of IVUS-guided complex PCI with improved AI algorithms, recognize the importance of combining experience with advanced knowledge of tools and techniques for optimal PCI outcomes in heavily calcified stenoses, and understand how tailoring drug-eluting devices for calcified lesions can...

A new horizon in IVUS-guided PCI of calcified stenoses with artificial intelligence

Calcified coronary lesions: procedural techniques - Part 1

14 May 2024 – From EuroPCR 2024

This session will feature a series of selected clinical case submissions from EuroPCR 2024, focusing on procedural techniques for the management of calcified coronary lesions. Attendees will have the opportunity to explore various strategies, including the use of angio-based FFR, OCT, rotational atherectomy, and drug-coated balloons,...

Calcified coronary lesions: procedural techniques - Part 1

Treatment strategies of calcified lesions

14 May 2024 – From EuroPCR 2024

This session, comprising selected EuroPCR 2024 Abstract submissions, explores various treatment strategies for calcified coronary lesions. It includes presentations and discussions on the invasive evaluation of coronary artery compliance modification after intracoronary lithotripsy, a retrospective comparison of rotational atherectomy in NSTE-ACS and stable angina patients, the...

Treatment strategies of calcified lesions

Management of patient with complex left main stenosis - LIVE case

14 May 2024 – From EuroPCR 2024

A 52-year-old male, with a history of STEMI treated by PPCI on RCA one month ago, presents with angina CCS 2 and severe, calcified stenosis in the LAD, CX, and distal left main. The treatment involved implanting 2 stents in the LAD after Rota preparation, followed...

Management of patient with complex left main stenosis - LIVE case

Management complications during PCI of calcified coronary lesions

14 May 2024 – From EuroPCR 2024

This session features selected clinical case submissions showcasing the management of complications that can arise during PCI (Percutaneous Coronary Intervention) of calcified coronary lesions. Participants will learn about various challenging scenarios, such as impacted diamond crown, stuck IVUS catheter post-stenting, and ruptured/fractured cutting balloon. The session...

Management complications during PCI of calcified coronary lesions

How should we manage calcific coronary disease according to the European Consensus document?

15 May 2024 – From EuroPCR 2024

Follow this exchange between James Spratt and Flavio Ribichini for insights into how the European Consensus document offers practical guidance for approaching calcified lesions, the significance of angiography findings, the critical role of intravascular imaging (IVUS or OCT), and device selection based on lesion type. Training...

How should we manage calcific coronary disease according to the European Consensus document?

Double trouble: uncrossable calcified lesion complicated with iatrogenic ostial dissection

11 Apr 2024

How should this 74-year-old woman with HTN, DM, LVEF 45 %, inferior hypokinesia, and no valvular disorders be managed after presenting with a subacute inferior STEMI of less than 24 hours? Before uncovering the authors' approach, provide your analysis!

Judit Andréka

Author

Judit Andréka
Günther Prenner

Author

Günther Prenner

Author

Sascha Paetzold
Dr. Gabor G. Toth

Author

Gabor G. Toth
Double trouble: uncrossable calcified lesion complicated with iatrogenic ostial dissection

How to choose a snare and how to create a snare in complex PCI scenarios

19 Dec 2023

Complex percutaneous coronary intervention (PCI) procedures are dramatically increasing in daily practice. Calcified coronary artery lesions and hostile cardiac anatomy may increase the risk of device dislodgment and/or malposition. In such situations, the use of a snare catheter is pivotal to retrieve and/or reposition the device.

Andrea Buono

Author

Andrea Buono

Author

Damiano Regazzoli
Diego Maffeo

Author

Diego Maffeo
Gabriele Gasparini

Author

Gabriele Gasparini
How to choose a snare and how to create a snare in complex PCI scenarios

Cracking new horizons across all calcium morphologies

07 Dec 2023 – From GulfPCR-GIM 2023

Watch this session to learn all about the intravascular lithotripsy (IVL) mechanism for treating calcified lesions. Discover practical advice and techniques for implementing IVL in challenging calcified lesions and the safe utilization of IVL in left main bifurcations.

Cracking new horizons across all calcium morphologies