Full Moon Coronary calcium seen on cardiac Tomography, can it change PCI decision-making and procedure?

Abstract

We report the case of a 57-year-old mal complaining of recurrent chest pain admitted electively for a recanalisation attempt to a known chronically totally occluded right coronary artery (RCA). Angiographically, the RCA was seen to have a high-grade in-stent restenosis in its proximal part followed by complete occlusion of the vessel, starting from the mid part of the stent deployed 13 years before (fig. 1). Cardiac computed tomography (CT) was performed as a preparation before the procedure. The RCA was seen to have heavy calcification in its proximal part and within the stent, indicating neoatherosclerotic disease (fig. 2A). The cross-sectional image of the calcified plaque revealed a circular