New Technologies in Calcium Management in Coronary Artery Disease

Coronary artery disease is a major contributor to morbidity and mortality globally. Myocardial revascularization with percutaneous coronary intervention (PCI) and stent has come a long way in successful treatment in great majority of these patients. Despite significant advances in field of intervention cardiology, calcified coronary lesions still present a challenge in achieving successful revascularization. The presence of significant calcium in coronary arteries can hinder the efficacy of (PCIs), leading to suboptimal results and increased procedural complications. Recent advancements in techniques such as advancements in intravascular imaging, intravascular lithotripsy, and novel atherectomy devices have revolutionized how interventional cardiologists approach these challenging lesions. This chapter aims to explore these recent developments in-depth, examining the efficacy of emerging technologies and their impact on procedural outcomes, while also addressing the ongoing challenges faced in the field. As technology continues to advance, the potential for improving patient outcomes in those with calcified coronary lesions appears promising, paving the way for a new era in coronary intervention.