215 results
Coronary atherectomy via guide extension catheter for bending calcified lesions
25 Mar 2021
It is challenging to treat bending calcified coronary lesions with CA. Using a guide extension catheter-supported back-up force to advance a bulky atherectomy device and a guidewire bias to the calcified lesion enabled imaging observation and sufficient dilation using a scoring balloon, which led to stent-less...

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Intercostal embolization of a stuck rotational atherectomy burr
02 Mar 2021
An elective right coronary artery PCI was scheduled in an 83-year-old gentleman. Due to the presence of severely diffuse and calcified disease, rotational atherectomy was decided, but the burr got entrapped in the severely calcified and tortuous proximal segment of the artery...
How should I treat underexpanded coronary stents due to severe coronary calcification?
11 Feb 2021
An 81-year-old male underwent PCI of an extensively calcified LAD coronary artery. Lesion preparation was done using cutting and scoring balloons, followed by drug-eluting stent implantation. Despite serial dilations, including the use of a very High-Pressure NC balloon, stent expansion could not be achieved...
Diamondback 360 orbital atherectomy system for the management of severely calcified lesions
12 Dec 2020 – From GulfPCR-GIM 2020
Watch this session to see the optimised outcome of the orbital atherectomy system for severely calcified coronary lesions and to understand how orbital atherectomy can fit into the daily practice within calcified coronary lesions.
This session was originally presented during GulfPCR-GIM 2020.
The wandering burr nightmare: coronary perforation during rotablation due to wire fracture
09 Dec 2020
Rotablation is an essential tool for contemporary PCI in managing heavily calcified vessels, but complications can occur. We describe a planned rotablation case in which the burr fractured the rotawire and exited the vessel architecture.

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Disrupt CAD III: Safety and effectiveness of intravascular lithotripsy for treatment of severe coronary calcification
17 Oct 2020
At TCT Connect 2020, Dean Kereiakes presented the results of the Disrupt CAD III trial. Giuseppe Di Gioia and Dejan Milasinovic provide a summary of the key messages.

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Clinical outcomes of calcified nodules detected by optical coherence tomography: a sub-analysis of the CLIMA study
10 Sep 2020
The goal of the present post hoc analysis of the CLIMA registry was to establish the relationship between calcified nodules (CNs) with (CND) or without (CNWD) disruption of the superficial intimal fibrous layer and one-year occurrence of target lesion myocardial infarction (MI) and/or cardiac death.
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Clinical outcomes of PCI with rotational atherectomy: the European multicentre Euro4C registry
06 Aug 2020
Despite the use of rotational atherectomy (RA) in interventional cardiology for over three decades, data regarding factors affecting the clinical outcomes of the RA procedure remain scarce. The aim of the present study was to describe the contemporary use and outcomes of RA in Europe..
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Best real-world applications of Shockwave intravascular lithotripsy (IVL) in coronary calcium
25 Jun 2020 – From PCR e-Course 2020
Watch this session if you want to understand how intravascular lithotripsy works through real-world cases, to hear from global leading physicians about where intravascular lithotripsy fits into their clinical practice and to hear about some of the most prominent cases of coronary intravascular lithotripsy.
Shockwave IVL Safety and Performance in Eccentric Calcified Coronary Lesions
Watch this Investigator Interview if you want to understand the challenges of treating eccentric calcium, to learn about the initial IVL clinical experience in eccentric calcium and to realise best practices when treating eccentric calcium with IVL
Speaker: Holger Nef
This interview supported by Shockwave Medical was filmed at...