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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Another frontier crossed!

15 Dec 2022 – From GulfPCR-GIM 2022

Watch this session to find out more about the optimal approach to complex patients, to learn about optimal plaque modification techniques, including atherectomy, to discuss the approach to severely calcified lesions, and to know more about the added value of intravascular imaging.

Another frontier crossed!

The why and how of performing plaque modification in calcified lesions

15 Dec 2022 – From GulfPCR-GIM 2022

Consult this session to learn more about the different kinds of lesions we face during coronary angiography and the different tools and techniques available to treat calcified lesions, as well as to discover how to prepare for each procedure to treat calcified lesion and how to manage complications.

The why and how of performing plaque modification in calcified lesions

Cracking calcium: intravascular lithotripsy’s unique mode of action in treating calcified lesions – What's the evidence?

14 Dec 2022 – From GulfPCR-GIM 2022

Watch this GulfPCR-GIM 2022 session to understand the unique mechanism of action of IVL, the use of intravascular imaging in calcium identification, the gender gap, disrupted CAD trials, and the evolution of treatment of calcified lesions together with the role of IVL.

Cracking calcium: intravascular lithotripsy’s unique mode of action in treating calcified lesions – What's the evidence?

Optimal PCI in patient with long calcified lesion

14 Dec 2022 – From GulfPCR-GIM 2022

In this session, follow a LIVE case from the Chest Diseases Hospital in Kuwait and learn what the best strategy is to treat patients who present with a very long calcified coronary artery lesion, as well as how to select the best device and which different...

Optimal PCI in patient

Challenging and complication cases

14 Dec 2022 – From GulfPCR-GIM 2022

Among the 5 cases presented in this GulfPCR-GIM 2022 session, learn more about post aortic valve replacement complications, complex bicuspid TAVI, or primary PCI for re-implanted left main trunk post aortic root replacement, among others!

Challenging and complication cases

IVUS post-rotablator: the older the calcium, the newer the treatment

31 Jan 2023

How would you treat a 90-year-old female patient with HTN, dyslipidaemia, paroxysmal AF, CCS and CKD, whose stable angina CCS II has been worsening for a few months and whose angio reveals severe calcified stenosis of the proximal and middle LAD? 

Dario Tino Bertolone

Author

Dario Tino Bertolone
Marta Belmonte

Author

Marta Belmonte

Author

Jeroen Sonck
IVUS post-rotablator: the older the calcium, the newer the treatment

Mitral valve in mitral annular calcification (MAC) - Recorded case

27 Nov 2022 – From PCR London Valves 2022

A 53-year-old male with a history of SAVR (Perimount 23) 10 years ago and chest radiotherapy (lymphoma) presents a severe mitral stenosis (MAC) with preserved LV function and impaired RV function.
On sentinel cerebral protection, the operators perform a transseptal puncture with electrifying a non-stiff guide wire,...

Recorded case: Mitral valve in MAC

A patient with a high-bleeding risk – how should I treat a calcified lesion?

31 Oct 2022

Discover the replay of this PCR Webinar on the Road and continue your world tour with a trip to Aalst, Belgium with E. Barbato, C. De Biase and D. Milasinovic

A patient with a high-bleeding risk – how should I treat a calcified lesion?

Porcelain aorta, calcified aortic valve, and calcified left main: what comes first, the valve or the artery?

08 Nov 2022

How would you treat this 76-year-old male patient with severe AS symptomatic for angina, sinus rhythm with RBBB, previous bilateral CEA, and total occlusion of both the left CCA and the subclavian?

Author

Flavio Luciano Ribichini
Petros Dardas

Author

Petros Dardas
Beatriz Vaquerizo

Author

Beatriz Vaquerizo
Porcelain aorta, calcified aortic valve, and calcified left main: what comes first, the valve or the artery?

How to deal with calcified coronaries

08 Oct 2022 – From AICT-AsiaPCR 2022

In this session, learn with experts about practical decisional algorithms to select the most appropriate tool in function of calcification severity and extension, and discover the contemporary tools and techniques for optimal plaque modification.

How to deal with calcified coronaries

Treatment of calcified lesions

07 Oct 2022 – From AICT-AsiaPCR 2022

Consider a 66-year-old man, hypertensive and diabetic for 10 years, with history of recurrent substernal chest pain and exertional dyspnea, who presented with easy fatigability and shortness of breath, or a 72-year-old man on dialysis who presented with STEMI and severe calcified stenosis of LAD/DI bifurcation,...

Treatment of calcified lesions

Rotational atherectomy for the treatment of calcified coronary lesion - Session with LIVE case

07 Oct 2022 – From AICT-AsiaPCR 2022

Let's see how this 80-year-old female patient with hypertension, hyperlipidaemia, diabetes mellitus, chronic kidney disease, history of ischaemic heart disease (2018) and NSTEMI (August 2022), currently asymptomatic but mainly homebound, was treated LIVE, and learn more about the treatment of calcified coronary lesion.

Rotational atherectomy for the treatment of calcified coronary lesion

Cracking calcium: best practices to integrate intravascular lithotripsy into your calcium management algorithm

07 Oct 2022 – From AICT-ASIAPCR 2022

With this session, keep up to date on the evidence, trials and outcome data for intravascular lithotripsy in severely calcified lesions. Learn how to use this technique in real-world patients and understand its role in the treatment algorithm for severely calcified coronary lesions.

Cracking calcium: best practices to integrate intravascular lithotripsy into your calcium management algorithm

PCI calcified lesion - Session with LIVE case

06 Oct 2022 – From AICT-AsiaPCR 2022

Watch this LIVE case preceded by a discussion regarding the PCI of a calcified lesion on a 75-year-old male with hypertension and hyperlipidemia who presented with Class III angina. Non-invasive evaluation showed significant LAD and RCA disease, normal LVEF and no significant valvular disease...

PCI calcified lesion

New solutions in resistant lesions

Watch this session to discover new solutions in resistant lesions: complementary appraisal of calcification detected by OCT deep learning and the clinical impact of OCT findings after treatment with intravascular lithotripsy among others!

New solutions in resistant lesions

EXpansion of stents after Intravascular lithoTripsy versus conventional predilatation in CALCified coronary arteries: the EXIT-CALC – a prospective, randomized study

20 Sep 2022

Pierre Deharo and Michele Pighi share with us their views on the EXIT-CALC study presented by Thomas Oomens at TCT 2022.

Pierre Deharo

Author

Pierre Deharo
M. Pighi

Author

Michele Pighi
EXpansion of stents after Intravascular lithoTripsy versus conventional predilatation in CALCified coronary arteries: the EXIT-CALC – a prospective, randomized study

PCRonline @ TCT 2022 - Get the international perspective!

12 Sep 2022

Thanks to the contribution of a team of interventional cardiologists from around the globe, view the international perspective on Late-breaking Clinical Trials and Science released at TCT 2022 - check out the list here!

PCRonline @ TCT 2022 - get the international perspective!

A case of severe ischemic cardiomyopathy

01 Aug 2022

Find out more about how the authors managed a 53-year old male with ischemic cardiomyopathy, EF 25 %, and calcified 3-vessel disease ! 

Wijnand Den Dekker

Author

Wijnand Den Dekker
Mahmoud-Karim

Author

Karim Mahmoud
A case of severe ischemic cardiomyopathy

Calcified lesions: which tools do you choose?

20 May 2022 – From EuroPCR 2022

Have you ever wondered what tools to use when faced with calcified lesions? Discover a step-by-step CT-guided PCI of complex calcific lesion, the use of Orbital Atherectomy: a relatively new calcium modification technique, additions to the calcium toolbox as well as Rotational Atherectomy!

Calcified lesions: which tools do you choose

Calcifications may still be challenging

20 May 2022 – From EuroPCR 2022

Consult this session to discover a selection of cases concerning challenging calcified lesions, and learn how to deal with some complications, such as: an undilatable lesion after rotational atherectomy, a stent dislodgement, a guidewire-tip-detachment, and much more!

Calcifications may still be challenging