Coronary calcification: you have to crack a few eggs to make an omelette

Coronary calcification represents an advanced stage of the inflammatory atherosclerosis process1. From a clinical point of view, it is associated with the elderly and chronic comorbidities such as diabetes mellitus or chronic kidney disease23. Typically, in these clinical contexts, revascularisation outcomes from percutaneous coronary intervention are worse than those in younger and less comorbid patients45.

Currently, the ageing of the population is leading to an increase in the number of comorbid patients with calcified coronary arteries needing revascularisation6. Moreover, in this subset of patients, the selected revascularisation type is most often percutaneous, given the less invasive nature of the ...