Why the study?
Severe coronary artery calcification remains a major challenge in percutaneous coronary intervention, requiring plaque preparation to deliver devices and achieve adequate luminal dimensions.
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Design
Review
May inform PCI for severe calcification; extends literature but leaves optimal strategies open pending RCTs.
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.
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Hennessey et al. (2023) studied this question.
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