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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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

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

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

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

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

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

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

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

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

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