Treatment of calcified coronary artery lesions |
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| Authors: | Mohamed Farag Charis Costopoulos Diana A Gorog Abhiram Prasad |
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| Institution: | 1. Department of Cardiology, East and North Hertfordshire NHS Trust, Hertfordshire, UK;2. Department of Cardiovascular Medicine, University of Cambridge, Cambridge, UK;3. Faculty of Medicine, National Heart and Lung Institute, Imperial College London, London, UK;4. Department of Cardiology, St George’s University Hospitals NHS Trust, London, UK |
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| 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. |
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| Keywords: | Percutaneous coronary intervention angioplasty calcified lesions rotablation atherectomy devices |
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