Contemporary percutaneous management of coronary calcification: current status and future directions

被引：23

作者：

Hennessey, Breda ^{[1
]}

Pareek, Nilesh ^{[2
,3
]}

Macaya, Fernando ^{[1
,2
]}

Yeoh, Julian ^{[2
,4
]}

Shlofmitz, Evan ^{[5
]}

Gonzalo, Nieves ^{[1
]}

Hill, Jonathan ^{[2
,6
]}

Escaned, Javier ^{[1
]}

机构：

[1] Hosp Clin San Carlos, Inst Cardiovasc, Madrid, Spain

[2] Kings Coll Hosp NHS Fdn Trust, London, England

[3] Kings Coll London, BHF Ctr Excellence, Sch Cardiovasc Med & Sci, London, England

[4] Univ Melbourne, Dept Med, Melbourne, Vic, Australia

[5] Heart Ctr, Roslyn, NY USA

[6] Royal Brompton Hosp, London, England

来源：

OPEN HEART | 2023年 / 10卷 / 01期

关键词：

Coronary Stenosis; Atherosclerosis; Percutaneous Coronary Intervention; OPTICAL COHERENCE TOMOGRAPHY; ELUTING STENT IMPLANTATION; CUTTING-BALLOON ANGIOPLASTY; ORBITAL ATHERECTOMY SYSTEM; ATHEROSCLEROTIC PLAQUE BURDEN; SPEED ROTATIONAL ATHERECTOMY; EXCIMER-LASER ANGIOPLASTY; LONG-TERM OUTCOMES; TREATING DE-NOVO; COMPUTED-TOMOGRAPHY;

D O I：

10.1136/openhrt-2022-002182

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Severe coronary artery calcification is one of the greatest challenges in attaining success in percutaneous coronary intervention, limiting acute and long-term results. In many cases, plaque preparation is a critical prerequisite for delivery of devices across calcific stenoses and also to achieve adequate luminal dimensions. Recent advances in intracoronary imaging and adjunctive technologies now allow the operator to select the most appropriate strategy in each individual case. In this review, we will revisit the distinct advantages of a complete assessment of coronary artery calcification with imaging and application of appropriate and contemporary plaque modification technologies in achieving durable results in this complex lesion subset.

引用

页数：15

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