Treatment of calcified coronary artery lesions

Mohamed Farag, Charis Costopoulos, Diana A. Gorog, Abhiram Prasad, Manivannan Srinivasan

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

ABSTRACT: Heavily calcified coronary plaques represent a complex lesion subset and a challenge to the interventional cardiologist, as they are often resistant to simple plaque modification with conventional balloon angioplasty. Inadequate plaque modification can lead to stent underdeployment, which itself predisposes to in-stent restenosis and stent thrombosis. Over the years, a number of mechanical devices ranging from modified angioplasty balloons to atherectomy devices have become available in order to tackle such lesions. Here we review these devices concentrating on the evidence behind their use.

Original languageEnglish (US)
Pages (from-to)683-690
Number of pages8
JournalExpert Review of Cardiovascular Therapy
Volume14
Issue number6
DOIs
StatePublished - Jun 2 2016

Keywords

  • Percutaneous coronary intervention
  • angioplasty
  • atherectomy devices
  • calcified lesions
  • rotablation

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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