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Current Management of Highly Calcified Coronary Lesions: An Overview of the Current Status

The amount of coronary calcium strongly correlates with the degree of atherosclerosis and, therefore, with the rate of future cardiac events. Calcified coronary lesions still represent a challenge for interventional cardiologists, bringing not only a higher risk of immediate complications during per...

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Detalles Bibliográficos
Autores principales: Caiazzo, Gianluca, Di Mario, Carlo, Kedhi, Elvin, De Luca, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381772/
https://www.ncbi.nlm.nih.gov/pubmed/37510959
http://dx.doi.org/10.3390/jcm12144844
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author Caiazzo, Gianluca
Di Mario, Carlo
Kedhi, Elvin
De Luca, Giuseppe
author_facet Caiazzo, Gianluca
Di Mario, Carlo
Kedhi, Elvin
De Luca, Giuseppe
author_sort Caiazzo, Gianluca
collection PubMed
description The amount of coronary calcium strongly correlates with the degree of atherosclerosis and, therefore, with the rate of future cardiac events. Calcified coronary lesions still represent a challenge for interventional cardiologists, bringing not only a higher risk of immediate complications during percutaneous coronary interventions (PCI), but also a higher risk of late stent failure due to under-expansion and/or malapposition, and therefore, have a relevant prognostic impact. Accurate identification of the calcified plaques together with the analysis of their distribution pattern within the vessel wall by intracoronary imaging is important to improve the successful treatment of these lesions. The aim of this review is to guide readers through the assessment of the calcified plaque distribution using intracoronary imaging in order to select the best devices and strategies for plaque debulking and lesion preparation.
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spelling pubmed-103817722023-07-29 Current Management of Highly Calcified Coronary Lesions: An Overview of the Current Status Caiazzo, Gianluca Di Mario, Carlo Kedhi, Elvin De Luca, Giuseppe J Clin Med Review The amount of coronary calcium strongly correlates with the degree of atherosclerosis and, therefore, with the rate of future cardiac events. Calcified coronary lesions still represent a challenge for interventional cardiologists, bringing not only a higher risk of immediate complications during percutaneous coronary interventions (PCI), but also a higher risk of late stent failure due to under-expansion and/or malapposition, and therefore, have a relevant prognostic impact. Accurate identification of the calcified plaques together with the analysis of their distribution pattern within the vessel wall by intracoronary imaging is important to improve the successful treatment of these lesions. The aim of this review is to guide readers through the assessment of the calcified plaque distribution using intracoronary imaging in order to select the best devices and strategies for plaque debulking and lesion preparation. MDPI 2023-07-23 /pmc/articles/PMC10381772/ /pubmed/37510959 http://dx.doi.org/10.3390/jcm12144844 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Caiazzo, Gianluca
Di Mario, Carlo
Kedhi, Elvin
De Luca, Giuseppe
Current Management of Highly Calcified Coronary Lesions: An Overview of the Current Status
title Current Management of Highly Calcified Coronary Lesions: An Overview of the Current Status
title_full Current Management of Highly Calcified Coronary Lesions: An Overview of the Current Status
title_fullStr Current Management of Highly Calcified Coronary Lesions: An Overview of the Current Status
title_full_unstemmed Current Management of Highly Calcified Coronary Lesions: An Overview of the Current Status
title_short Current Management of Highly Calcified Coronary Lesions: An Overview of the Current Status
title_sort current management of highly calcified coronary lesions: an overview of the current status
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381772/
https://www.ncbi.nlm.nih.gov/pubmed/37510959
http://dx.doi.org/10.3390/jcm12144844
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