Calcified coronary lesions: Imaging, prognosis, preparation and treatment state of the art review

IF 5.6 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Progress in cardiovascular diseases Pub Date : 2024-09-01 DOI:10.1016/j.pcad.2024.06.007

{"title":"Calcified coronary lesions: Imaging, prognosis, preparation and treatment state of the art review","authors":"","doi":"10.1016/j.pcad.2024.06.007","DOIUrl":null,"url":null,"abstract":"<div><div><span>Calcific coronary artery stenosis<span><span> is a complex disease associated with adverse outcomes and suboptimal percutaneous treatment. Calcium plaque modification has emerged as a key strategy to tackle the issues that accompany calcific stenosis - namely reduced device deliverability, unpredictable lesion characteristics, and difficult dilatation. </span>Atherectomy has traditionally been the treatment modality of choice for heavily calcified coronary stenoses. Contemporary technologies have emerged to aid with planning, preparation, and treatment of calcified coronary stenosis in an attempt to improve procedural success and long-term outcomes. In this </span></span><em>State Of The Art Review</em><span>, we synthesize the body of data surrounding the diagnosis, imaging, and treatment of calcific coronary disease<span>, with a focus on i) intravascular imaging, ii) calcific lesion preparation, iii) treatment modalities including atherectomy, and iv) updated treatment algorithms for the management of calcified coronary stenosis.</span></span></div></div>","PeriodicalId":21156,"journal":{"name":"Progress in cardiovascular diseases","volume":null,"pages":null},"PeriodicalIF":5.6000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Progress in cardiovascular diseases","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0033062024000951","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

Abstract

Calcific coronary artery stenosis is a complex disease associated with adverse outcomes and suboptimal percutaneous treatment. Calcium plaque modification has emerged as a key strategy to tackle the issues that accompany calcific stenosis - namely reduced device deliverability, unpredictable lesion characteristics, and difficult dilatation. Atherectomy has traditionally been the treatment modality of choice for heavily calcified coronary stenoses. Contemporary technologies have emerged to aid with planning, preparation, and treatment of calcified coronary stenosis in an attempt to improve procedural success and long-term outcomes. In this State Of The Art Review, we synthesize the body of data surrounding the diagnosis, imaging, and treatment of calcific coronary disease, with a focus on i) intravascular imaging, ii) calcific lesion preparation, iii) treatment modalities including atherectomy, and iv) updated treatment algorithms for the management of calcified coronary stenosis.

查看原文本刊更多论文

冠状动脉钙化病变：成像、预后、准备和治疗的最新进展回顾。

钙化性冠状动脉狭窄是一种复杂的疾病，与不良预后和不理想的经皮治疗有关。钙斑块改造已成为解决钙化狭窄问题的关键策略，即降低设备的可送达性、病变特征不可预测以及难以扩张。对于严重钙化的冠状动脉狭窄，传统上选择的治疗方式是动脉粥样硬化切除术。现代技术的出现有助于钙化冠状动脉狭窄的计划、准备和治疗，以提高手术成功率和长期疗效。在这篇最新技术综述中，我们综合了有关钙化冠状动脉疾病诊断、成像和治疗的大量数据，重点关注 i）血管内成像；ii）钙化病变准备；iii）包括动脉粥样硬化切除术在内的治疗方式；以及 iv）治疗钙化冠状动脉狭窄的最新治疗算法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Progress in cardiovascular diseases 医学-心血管系统

CiteScore

10.90

自引率

6.60%

发文量

审稿时长

7 days

期刊介绍： Progress in Cardiovascular Diseases provides comprehensive coverage of a single topic related to heart and circulatory disorders in each issue. Some issues include special articles, definitive reviews that capture the state of the art in the management of particular clinical problems in cardiology.