Key result
Imaging-guided calcium modification is essential for heavily calcified coronary lesions during PCI.
Why the study?
Heavily calcified coronary lesions present unique challenges during PCI, impacting procedural success and long-term outcomes, necessitating tailored approaches.
Population
Patients with heavily calcified coronary lesions undergoing PCI
Comparison
Various calcium modification techniques and intravascular imaging modalities
Design
Review
Authors
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Intravascular imaging may refine calcified lesion assessment in PCI; leaves open whether tailored strategies improve hard outcomes in randomized trials.
Tailored approaches using intravascular imaging and modern calcium modification techniques are essential for optimizing procedural success and outcomes in heavily calcified coronary lesions.
Sammour et al. (2025) conducted a review in Heavily calcified coronary lesions. Calcium modification techniques (specialty balloons, intravascular lithotripsy, atherectomy) was evaluated. Calcium modification techniques, guided by intravascular imaging, are essential for addressing heavily calcified coronary lesions during PCI, though optimal strategies require future randomized trials.
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