TY - JOUR
T1 - Contemporary technologies to modify calcified plaque in coronary artery disease
AU - Rozenbaum, Zach
AU - Takahashi, Tatsunori
AU - Kobayashi, Yuhei
AU - Bliagos, Dimitrios
AU - Menegus, Mark
AU - Colombo, Antonio
AU - Latib, Azeem
N1 - Publisher Copyright:
© 2021
PY - 2021/11/1
Y1 - 2021/11/1
N2 - 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.
AB - 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.
KW - Atherectomy
KW - Calcifications
KW - Excimer laser
KW - Intracoronary imaging
KW - Intravascular lithotripsy
KW - Orbital
KW - Rotational
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U2 - 10.1016/j.pcad.2021.07.003
DO - 10.1016/j.pcad.2021.07.003
M3 - Review article
C2 - 34252411
AN - SCOPUS:85111248386
SN - 0033-0620
VL - 69
SP - 18
EP - 26
JO - Progress in Cardiovascular Diseases
JF - Progress in Cardiovascular Diseases
ER -