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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OCT-guided PCI for a patient with calcified lesion

07 Dec 2023 – From GulfPCR-GIM 2023

Consult this session to gain insights into the significance of actionable intracoronary imaging in the patient treatment journey and acquire knowledge on adopting procedural strategies. Learn about the effective utilisation of orbital atherectomy for plaque modification and the impact of DES platforms in the management of...

OCT-guided PCI for a patient with calcified lesion

A new angiographic tool to evaluate stent expansion besides intracoronary imaging

24 Nov 2023

A 57-year-old man with hypertension and dyslipidemia as cardiovascular risk factors was admitted for stable angina for months. His symptoms were not controlled despite maximal medical treatment (beta-blockers, nitrates, aspirin, statins). Angios revealed multivessel disease. How would you manage this case?

Author

Salvatore Brugaletta
3DStent: a new tool to evaluate stent expansion besides intra-coronary imaging

Severe symptomatic aortic stenosis in a "no access for TAVI" patient and an "unexpected" toll for balloon valvotomy

18 Oct 2023

An 88-year-old lady was admitted with resistant pulmonary oedema, a massively calcified aortic valve, renal failure and no transfemoral access option. How would you treat this patient?

Author

Haim Danenberg

Author

Lisa Manevich

Author

Dimitry Yakubovitch

Author

Adi Orbach
Severe symptomatic aortic stenosis in a 'no access for TAVI' patient and an 'unexpected' toll for balloon valvotomy

Calcified bifurcation lesion - LIVE case

22 Sep 2023 – From AICT-AsiaPCR 2023

A 59-year-old female patient with type 2 DM, dyslipidaemia, hypothyroidism and impaired LV function (39%) presented with multivessel disease. RCA PCI was performed 3 days ago. 

The prox and mid LAD showed a severe calcified lesion including the diagonal. The lesion was prepared using a 1.25 Rotaglide™ ('single-person'...

Calcified bifurcation lesion - LIVE case

Innovations in managing calcified lesions

22 Sep 2023 – From AICT-AsiaPCR 2023

Discover advanced strategies for dealing with challenging calcified lesions in this session: learn how to tackle complex situations, including diffuse and heavily calcified lesions, and discover innovative techniques for addressing angulated calcified lesions in the left anterior descending artery and other vessels.

Innovations in managing calcified lesions

Other valvular interventions

22 Sep 2023 – From AICT-AsiaPCR 2023

Explore innovative approaches to various valvular interventions in this session: from managing post-mitral valve replacement complications and performing balloon mitral valvotomy in patients with restenosis after mitral valve interventions to tackling calcified mitral valves and addressing unique cases like LBB pacing in isolated ccTGA with complete...

Other valvular interventions

Advanced approaches to treating calcified lesions

22 Sep 2023 – From AICT-AsiaPCR 2023

Discover advanced insights into calcified lesions in this session, covering topics such as: managing double disasters, treating severe calcified left main disease, addressing complications in double vessel rotablation with left main bifurcation stenting, and using rotatripsy in OCT-guided PCI for calcified left anterior descending artery.

Advanced approaches to treating calcified lesions

Revolutionising coronary calcium treatment: unleashing the potential of intravascular lithotripsy

21 Sep 2023 – From AICT-AsiaPCR 2023

Over the last five years, we have learned that there is a new tool for treating calcium, the greatest enemy of interventional cardiology, which can take various forms: intravascular lithotripsy. In this session, look at how to master this technique in different scenarios, from eccentric calcified...

Revolutionising coronary

Challenges in calcified lesions

21 Sep 2023 – From AICT-AsiaPCR 2023

Explore a variety of challenging cases in this session, from the perplexing uncrossable STEMI to the specialized "Blocked" balloon anchoring technique, the unique challenges of calcified lesions in elderly patients to the debulking of a calcified nodule within the left circumflex ostium through the stent strut,...

Challenges in calcified lesions

Calcified lesions complications

21 Sep 2023 – From AICT-AsiaPCR 2023

Uncover the art of mastering complications associated with severe calcified lesions in this session: learn about top-notch techniques, the latest technological advancements, gain insights into addressing challenges arising from calcification, and more!

Calcified lesions complications

Shock the rock with more IVL impulses, and get more gain!

20 Sep 2023

How would you treat this 81-year-old male patient with HTN, diabetes, dyslipidemia, peripheral vasculopathy, previous coronary angioplasty and prostatic adenocarcinoma, who was admitted for effort angina and positive stress test?

Author

Flavio Luciano Ribichini
Concetta Mammone

Author

Concetta Mammone
Mattia Lunardi

Author

Mattia Lunardi
Shock the rock with more IVL impulses, and get more gain!

Bifurcation left main stenting with or without intracoronary imaging: Outcomes from the EBC MAIN trial

08 Aug 2023

This sub-analysis of EBC MAIN aimed to determine if intracoronary imaging use during LM bifurcation PCI was associated with fewer MACE, for patients treated with a planned dual‐stenting strategy versus provisional strategy.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
Bifurcation left main stenting with or without intracoronary imaging: Outcomes from the EBC MAIN trial

Die Hard: high-risk PCI in calcified LM and severe LV dysfunction

14 Jun 2023

How would you treat an extremely calcified sub-occluded LM in a 72-year-old man presenting on "dependent stability and sliding on inotropes"(*), refused by surgery?

(*) INTERMACS III to II

Author

Flavio Luciano Ribichini
Gabriele Pesarini

Author

Gabriele Pesarini
Mattia Lunardi

Author

Mattia Lunardi
Die Hard: high-risk PCI in calcified LM and severe LV dysfunction

Complex Calcified Lesions: Keep it simple and stay Safe

26 Jun 2023

Watch the replay of this webinar with F. Ribichini, C. Cosgrove and C. Ungureanu and learn about diagnostic tools and appropriate planning of modern PCI in calcified lesions and much more!

Complex Calcified Lesions: Keep it simple and stay Safe

Contemporary calcium modification strategies for complex calcification, which tools and when?

20 May 2023 – From EuroPCR 2023

Nieves Gonzalo and Jeroen Sonck reflect on the management of calcific disease, one of the hot and trending topics at EuroPCR 2023. They discuss how to prepare before treating, the modalities to evaluate the calcium and how to anticipate the need for more dedicated devices.

Contemporary calcium modification strategies for complex calcification, which tools and when?

Intravascular lithotripsy in the real world: the revolution continues

18 May 2023 – From EuroPCR 2023

In this session, review the evolution in the use of IVL over the last few years, with a widening of the indications, observe that OCT can underestimate the number and depth of calcium fractured induced by IVL, or see that the technique is safe and effective...

Intravascular lithotripsy

Diagnosis and procedural strategies for severely calcified lesions

18 May 2023 – From EuroPCR 2023

Dealing with severely calcified lesions? Explore the insights from two cases showcased in this session, and leverage Flavio Ribichini's algorithm for angiographic calcified lesions, as well as Yoshinobu Onuma's algorithm for calcified lesions with adjunctive imaging modalities, to enhance your management strategies!

Diagnosis and procedural strategies for severely calcified lesions

Calcified distal left main stenosis - LIVE case

18 May 2023 – From EuroPCR 2023

Watch the case of a 62-year-old non-diabetic male patient with history of stroke and peripheral artery disease, normal ECG and left ventricular function, referred for CT scan and angiography. He presented with calcified distal LM stenosis and calcified proximal LAD stenosis.

Provisional left main stenting was performed,...

Calcified distal left main stenosis - LIVE case

TAVI in heavily calcified aortic disease - How to choose the proper treatment strategy?

18 May 2023 – From EuroPCR 2023

Consult this session if you want to outline how the heart team should individualise treatment for patients with complex calcified aortic stenosis, to review steps for TAVI in complex calcified aortic stenosis, and to learn about device selection and implantation techniques in calcified anatomies.

TAVI in heavily calcified aortic disease