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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Dealing with calcified lesions: friends and enemies

19 May 2022 – From EuroPCR 2022

Learn tips and tricks when addressing calcified lesions, including the optimal application of imaging insights, IVUS-guidance for treatment of Type 3 perforation and more!

Dealing with calcified lesions: friends and enemies

Facing left main PCI in your daily practice: learn from challenging situations

19 May 2022 – From EuroPCR 2022

Get an insight on left main PCI by learning from challenging scenarios: left main perforation, left main bifurcation PCI, complex tandem bifurcation lesions and many more!

Facing left main PCI in your daily practice: learn from challenging situations

Open the pass: interventions to facilitate transfemoral TAVI in calcified access

19 May 2022 – From EuroPCR 2022

Consult this session to discover some interventions to facilitate transfemoral TAVI in challenging situations, such as: coarctation and aortic stenosis with very high surgical risk, severe aortic stenosis with large infra-renal abdominal aneurysm, severe circumferential calcified bilateral iliac stenosis with thick protruding nodules, and much more!

Open the pass: interventions to facilitate transfemoral TAVI in calcified access

How to approach complex and calcified coronary lesions

19 May 2022 – From EuroPCR 2022

Discover the added value of imaging in complex left main PCI, the impact of robotization in severely calcified left main lesions and the use of directional rotational atherectomy for calcified nodule of left main bifurcation in these cases on complex and calcified coronary lesions!

How to approach complex and calcified coronary lesions

Cracking calcium: best practices to integrate intravascular lithotripsy (IVL) into your calcium management algorithms

19 May 2022 – From EuroPCR 2022

Consult this session to learn about the best practices and tips to optimise application of intravascular lithotripsy (IVL) in coronary vasculature, and to discover some new calcium management algorithms to improve PCI outcomes as well as the latest technological advancements of peripheral IVL for pre-TAVI access.

Cracking calcium: best

TAVI indications in complex situations

18 May 2022 – From EuroPCR 2022

Watch this session on TAVI to learn how to perform this procedure in complex situations, such as: acute myeloid leukemia and severe bicuspid aortic valve stenosis, pulmonary edema due to severe aortic stenosis, angina with complex coronary artery disease, and more!

TAVI indications in complex situations

Innovative solutions in complex coronary lesions - Part 1

18 May 2022 – From EuroPCR 2022

Consult this session to discover some innovative solutions in complex coronary lesions, such as: revascularisation for a case with ULMCA and RCA calcification CTO, stentless treatment for left main quadrifurcation lesion, OCT-guided PCI with intravascular lithotripsy in a calcified SVG, and more!

Innovative solutions in complex coronary lesions

Innovative solutions in complex coronary lesions - Part 3

18 May 2022 – From EuroPCR 2022

Watch these videos to discover some innovative solutions in complex coronary lesions, thanks to a selection of cases: a 27-year-old woman with STEMI and multiple culprit lesions, an unusual communication between aorta and the heart, CTO RCA done with retrograde approach with reverse CART technique, and more!

Innovative solutions in complex coronary lesions

Invasive imaging and functional assessment

18 May 2022 – From EuroPCR 2022

Watch this session on invasive imaging and functional assessment to learn more about the role of intravascular imaging (OCT and IVUS) in guiding and optimizing complex PCI in calcified lesions.

Invasive imaging and functional assessment

Complex PCI with haemodynamic robotic support

17 May 2022 – From EuroPCR 2022

Consult this session on complex PCI with haemodynamic robotic support to discover a selection of challenging cases: PulseCath iVAC facilitation of complex PCI in young patient, rescue PCI of an intra-operatively injured anomalous coronary in a one-year-old, severe calcified LAD lesion supported by Impella and prepared with Diamond...

Complex PCI with haemodynamic robotic support

Complex PCI after bypass grafts failure

17 May 2022 – From EuroPCR 2022

Discover the case of a 76 year-old female patient presenting with unstable angina, history of CABG and SVG and various risk factors (dyslipidemia, hypertension and type 2 diabetes). Angiography revealed a severe calcification of left main and left anterior descending artery with a tight stenosis, a...

Complex PCI after bypass grafts failure

Severe coronary calcification: a setting for more than one lesion preparation method

17 May 2022 – From EuroPCR 2022

Discover the case of a 85 year-old male patient with an inferior NSTEMI, a severely reduced LVEF 20%, a symptomatic COVID-19 infection and various comorbidities. The RCA subocclusion was successfully stented, while the predilation of the proximal LAD calcification remained unsuccessful. How did the team treat...

Severe coronary calcification: a setting for more than one lesion preparation method

The freaky and rocky road

17 May 2022 – From EuroPCR 2022

Discover the case of a 85 year-old female patient presenting with angina during dialysis and LVEF 55% with hypokinesia in inferior wall. Angiogram reveals an anomalous RCA from left sinus with a mid-RCA calcified CTO. Watch the video to learn more about the treatment's option!

The freaky and rocky road

Complex primary PCI (part I)

17 May 2022 – From EuroPCR 2022

Consult this session to discover a selection of complex primary PCI cases: rock hard calcified lesions, RCA occlusion with critical LAD stenosis, occluded proximal left anterior descending artery difficult to expand, and more!

Complex primary PCI (part I)

TAVI in severe calcified anatomy

17 May 2022 – From EuroPCR 2022

Consult this session to discover some complex TAVI cases in severe calcified anatomy, such as: high-risk aortic stenosis patient treated with orbital atherectomy, IVL and TAVI, antegrade-retrograde technique in uncrossable aortic valve, TAVI in severe calcified bicuspid aortic valve with LV apical clot, and much more!

TAVI in severe calcified anatomy

Complex TEVAR

17 May 2022 – From EuroPCR 2022

Consult this session on complex TEVAR to discover some challenging cases: aortic arch debranching and TEVAR with mixed reality support, TEVAR in severely calcified and enormously tortuous aorta and iliacs, and more!

Complex TEVAR

A case of severe aortic stenosis and severe calcified ostial RCA disease

01 Jun 2022

Techniques to manage simultaneously severe calcified aortic stenosis and severe heavily calcified ostial RCA disease combining TAVI and ROTABLATION.

Petros Dardas

Author

Petros Dardas
Nikolaos Mezilis

Author

Nikolaos Mezilis
A case of severe aortic stenosis and severe calcified ostial RCA disease

Coronary lithotripsy for the treatment of underexpanded stents: the international multicentre CRUNCH registry

11 Apr 2022

CRUNCH registry aimed to investigate the safety and efficacy of intravascular lithotripsy in the setting of resistant stent under expansion due to underlying calcific plaques.

Reviewer

Ali Nazmi Calik
Ismail Polat Canbolat

Reviewer

Ismail Polat Canbolat
Coronary lithotripsy for the treatment of underexpanded stents: the international multicentre CRUNCH registry

How to manage a calcified LM bifurcation?

05 Apr 2022

Find out more about an 87-year-old male patient with PCI mid-LAD with BMS 9/1998, several risk factors, preserved LVEF and eGFR, symptomatic with unstable angina, and on medical therapy...

Konstantinos Bermpeis

Author

Konstantinos Bermpeis
Marta Belmonte

Author

Marta Belmonte
Prof. Emanuele BARBATO

Author

Emanuele Barbato
How to manage a calcified LM bifurcation?

How should I treat? - An innovative approach to treat diffuse disease

23 Feb 2022

An 81-year-old gentleman with a history of dyslipidemia, hypertension, presenting a new onset of angina and dyspnea in the last 2 years underwent exertional test which resulted positive for ischemia.

Alessandro Sticchi

Author

Alessandro Sticchi
How should I treat? - An innovative approach to treat diffuse disease