Why the study?
Coronary calcification represents a significant technical challenge in percutaneous coronary intervention and is associated with worse clinical outcomes, requiring adequate lesion preparation before stenting.
Do balloon-assisted technologies (non-compliant balloons, super high-pressure balloons, cutting balloons, scoring balloons, and intravascular lithotripsy) safely and effectively prepare calcified coronary lesions in patients undergoing percutaneous coronary intervention?
Do balloon-assisted technologies (non-compliant balloons, super high-pressure balloons, cutting balloons, scoring balloons, and intravascular lithotripsy) safely and effectively prepare calcified coronary lesions in patients undergoing percutaneous coronary intervention?
This review summarizes the mechanisms, clinical evidence, and practical considerations for using balloon-based technologies—including non-compliant, super high-pressure, cutting, scoring, and intravascular lithotripsy balloons—to prepare calcified coronary lesions prior to stenting.
Balloon-based prep may aid calcified PCI; leaves open comparative RCTs before guiding technique choice.
Coronary calcification represents a significant technical challenge in percutaneous coronary intervention and is associated with worse clinical outcomes. Fortunately, a number of balloon-assisted technologies are available to aid in the management of coronary calcification before stenting. Adequate lesion preparation is crucial in the successful management of calcified coronary lesions. Balloon-based techniques can be a safe and effective method of lesion preparation and, as such, are an integral part of an interventionalist's armamentarium. In this mini-review, we focus on the use of non-compliant balloons, super high-pressure non-compliant balloons, cutting balloons, scoring balloons and intravascular lithotripsy.
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Maffey et al. (2024) studied this question.
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