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The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions
Heavily calcified coronary artery lesions hinder the delivery of devices and limit stent expansion, resulting in low procedural success and poor clinical outcomes driven by an increase in restenosis and stent thrombosis. Intracoronary imaging provides a more precise assessment of lesions and is a cr...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Radcliffe Cardiology
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918501/ https://www.ncbi.nlm.nih.gov/pubmed/31867063 http://dx.doi.org/10.15420/icr.2019.16.R1 |
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author | Ueki, Yasushi Otsuka, Tatsuhiko Hibi, Kiyoshi Räber, Lorenz |
author_facet | Ueki, Yasushi Otsuka, Tatsuhiko Hibi, Kiyoshi Räber, Lorenz |
author_sort | Ueki, Yasushi |
collection | PubMed |
description | Heavily calcified coronary artery lesions hinder the delivery of devices and limit stent expansion, resulting in low procedural success and poor clinical outcomes driven by an increase in restenosis and stent thrombosis. Intracoronary imaging provides a more precise assessment of lesions and is a critical step when deciding whether the lesion needs to be prepared with atherectomy devices. Physiological assessment of lesion significance is an important consideration to avoid unnecessary stenting. This article summarises the current data on the value of intracoronary imaging and functional assessment for coronary calcified lesions and suggests a treatment strategy based on the findings of intracoronary imaging findings. |
format | Online Article Text |
id | pubmed-6918501 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Radcliffe Cardiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-69185012019-12-20 The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions Ueki, Yasushi Otsuka, Tatsuhiko Hibi, Kiyoshi Räber, Lorenz Interv Cardiol Coronary Calcified Lesions Heavily calcified coronary artery lesions hinder the delivery of devices and limit stent expansion, resulting in low procedural success and poor clinical outcomes driven by an increase in restenosis and stent thrombosis. Intracoronary imaging provides a more precise assessment of lesions and is a critical step when deciding whether the lesion needs to be prepared with atherectomy devices. Physiological assessment of lesion significance is an important consideration to avoid unnecessary stenting. This article summarises the current data on the value of intracoronary imaging and functional assessment for coronary calcified lesions and suggests a treatment strategy based on the findings of intracoronary imaging findings. Radcliffe Cardiology 2019-11-18 /pmc/articles/PMC6918501/ /pubmed/31867063 http://dx.doi.org/10.15420/icr.2019.16.R1 Text en Copyright © 2019, Radcliffe Cardiology https://creativecommons.org/licenses/by-nc/4.0/legalcode This work is open access under the CC-BY-NC 4.0 License which allows users to copy, redistribute and make derivative works for non-commercial purposes, provided the original work is cited correctly. |
spellingShingle | Coronary Calcified Lesions Ueki, Yasushi Otsuka, Tatsuhiko Hibi, Kiyoshi Räber, Lorenz The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions |
title | The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions |
title_full | The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions |
title_fullStr | The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions |
title_full_unstemmed | The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions |
title_short | The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions |
title_sort | value of intracoronary imaging and coronary physiology when treating calcified lesions |
topic | Coronary Calcified Lesions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918501/ https://www.ncbi.nlm.nih.gov/pubmed/31867063 http://dx.doi.org/10.15420/icr.2019.16.R1 |
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