Treatment of calcified coronary artery lesions

被引:15
作者
Farag, Mohamed [1 ]
Costopoulos, Charis [1 ,2 ]
Gorog, Diana A. [3 ]
Prasad, Abhiram [4 ]
Srinivasan, Manivannan [1 ]
机构
[1] East & North Hertfordshire NHS Trust, Dept Cardiol, Stevenage, Herts, England
[2] Univ Cambridge, Dept Cardiovasc Med, Cambridge, England
[3] Imperial Coll London, Natl Heart & Lung Inst, Fac Med, London, England
[4] St Georges Univ Hosp NHS Trust, Dept Cardiol, London, England
关键词
Percutaneous coronary intervention; angioplasty; calcified lesions; rotablation; atherectomy devices;
D O I
10.1586/14779072.2016.1159513
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Heavily calcified coronary plaques represent a complex lesion subset and a challenge to the interventional cardiologist, as they are often resistant to simple plaque modification with conventional balloon angioplasty. Inadequate plaque modification can lead to stent underdeployment, which itself predisposes to in-stent restenosis and stent thrombosis. Over the years, a number of mechanical devices ranging from modified angioplasty balloons to atherectomy devices have become available in order to tackle such lesions. Here we review these devices concentrating on the evidence behind their use.
引用
收藏
页码:683 / 690
页数:8
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