Contemporary technologies to modify calcified plaque in coronary artery disease

被引：16

作者：

Rozenbaum, Zach ^{[1
,2
]}

Takahashi, Tatsunori ^{[3
,4
]}

Kobayashi, Yuhei ^{[1
,4
]}

Bliagos, Dimitrios ^{[1
,4
]}

Menegus, Mark ^{[1
,4
]}

Colombo, Antonio ^{[5
]}

Latib, Azeem ^{[1
,4
]}

机构：

[1] Montefiore Med Ctr, Div Cardiol, New York, NY USA

[2] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel

[3] Jacobi Med Ctr, New York, NY USA

[4] Albert Einstein Coll Med, New York, NY USA

[5] IRCCS Humanitas Res Hosp, Cardio Ctr, Rozzano, Italy

来源：

PROGRESS IN CARDIOVASCULAR DISEASES | 2021年 / 69卷

关键词：

Calcifications; Intracoronary imaging; Rotational; Orbital; Excimer laser; Atherectomy; Intravascular lithotripsy; ELUTING STENT IMPLANTATION; ACUTE MYOCARDIAL-INFARCTION; EXCIMER-LASER ANGIOPLASTY; INTRAVASCULAR ULTRASOUND ASSESSMENT; OPTICAL COHERENCE TOMOGRAPHY; ANGIOGRAPHIC FOLLOW-UP; LEVEL POOLED ANALYSIS; TREATING DE-NOVO; ROTATIONAL ATHERECTOMY; BALLOON ANGIOPLASTY;

D O I：

10.1016/j.pcad.2021.07.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

With aging society, one of the more challenging obstacles in percutaneous coronary interventions are calcified coronary lesions. Calcified lesions may impede stent delivery, limit balloon and stent expansion, cause uneven drug distribution, and hinder wire advancement. Even in the setting of acceptable procedural success, vessel calcification is independently associated with increased target lesion revascularization rates at follow-up and lower survival rates. In order to effectively manage such lesions, dedicated technologies have been developed. Atherectomy aims at excising tissue and debulking plaques, as well as compressing and reshaping the atheroma, generally referred to as lesion preparation that enables further balloon and/or stent expansion in contemporary clinical practice. In the current review, we will discuss the available methods for atherectomy, including rotational, orbital, and excimer laser coronary atherectomy, as well as intravascular lithotripsy. In addition, we will review the role of imaging in calcified lesions. (c) 2021 Published by Elsevier Inc.

引用

页码：18 / 26

页数：9

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