Abrasion, grinding, pulverization, vaporization, and extraction: Debulking options for percutaneous coronary interventions of calcified coronary lesions

Prashanth Thakker, Nathan Frogge, Manoj Thangam, John Lasala

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations

Abstract

Calcified coronary lesions present a unique challenge for patients undergoing percutaneous coronary interventions (PCI). A higher prevalence of calcific lesions is seen in men and older patients, while diabetes, chronic kidney disease, and tobacco use are significant risk factors. Calcific lesions have been associated with an increased risk of stent thrombosis, restenosis, and major adverse cardiac outcomes (MACE). Larger plaque burden and increased lesion complexity, such as bifurcation or chronic total occlusion, are commonly seen with calcific coronary lesions.

Original languageEnglish
Title of host publicationDebulking in Cardiovascular Interventions and Revascularization Strategies
Subtitle of host publicationBetween a Rock and the Heart
PublisherElsevier
Pages71-99
Number of pages29
ISBN (Electronic)9780128214510
DOIs
StatePublished - Jan 1 2022

Keywords

  • Calcified coronary artery disease
  • Orbital atherectomy
  • Percutaneous coronary intervention
  • Rotational atherectomy

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