110 results
Calcium is not a rocket science
07 May 2025
We present the case of an 83-year-old man admitted with chronic coronary syndrome.
Coronary angiography revealed critical long calcified LAD stenosis. Complex PCI with different plaque modification techniques and intravascular imaging guiding was necessary to reach the success.
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Complex PCI for severely calcified, uncrossable RCA lesion
07 Apr 2025
A 72-year-old male patient with stable coronary artery disease was admitted for recurrence of angina (CCS II/III). Coronary angiography revealed significant stenosis in the mid-portion of RCA. Ad hoc PCI of RCA was unsuccessful due to an uncrossable lesion...
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Rotational atherectomy, lithotripsy, or laser for calcified coronary stenosis: the ROLLER COASTR-EPIC22 trial
24 Mar 2025
Due to a lack of randomised evidence, this randomised controlled trial (RCT) aimed to compare the safety and efficacy of IVL and ELCA with RA in treating heavily calcified coronary lesions before drug-eluting stent implantation.
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Can’t stand heavy metal: how to treat an ACS with severe metal allergy?
17 Mar 2025
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Impact of intravascular imaging guidance on percutaneous coronary intervention of severely calcified lesions: The ECLIPSE trial
29 Mar 2025
Aaysha Cader provides her take on the ECLIPSE trial presented by Gregg W. Stone at ACC.25 in Chicago.
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Functional or anatomical assessment of non-culprit lesions in acute myocardial infarction
06 Mar 2025
This study demonstrates that OCT-defined TCFA is a superior prognostic marker compared to μQFR for assessing NCLs in AMI patients.
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Comprehensive diagnosis in chronic coronary syndromes combining angiography and intracoronary testing: the AID-ANGIO study
18 Feb 2025
The authors hypothesized that enriching invasive coronary angiography (ICA) with an advanced invasive diagnosis (AID) strategy would increase the diagnostic yield of obstructive and non-obstructive coronary artery disease (INOCA).
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Computed tomography versus near-infrared spectroscopy for the assessment of coronary atherosclerosis
17 Feb 2025
NIRS-IVUS offers precise assessment of coronary artery pathology but is invasive and limited in scope, while CCTA is emerging as a non-invasive alternative for comprehensive plaque evaluation.
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Precision PCI in the era of AI and multimodality imaging
13 Jan 2025
Nailing the ostium of LAD, although technically challenging, can be precisely done with mandatory intracoronary imaging. It is essential to rule out disease extension into left main artery as, otherwise, cross over LM-LAD stenting strategy would be preferable. CTCA can help the interventionist plan the PCI,...
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Complicated subendothelial dissection during left anterior descending coronary artery – first diagonal branch bifurcation treatment with Culotte technique
06 Jan 2025
Learn more about troubleshooting and tailor-made treatment combining 2D and 3D OCT thanks to this image in cardiology!
