State-of-the-Art

DOI: 10.4244/EIJ-D-24-00195

Percutaneous coronary intervention for calcified and resistant lesions

Gabriele Pesarini1, MD, PhD; Farrel Hellig2,3, MD; Ashok Seth4, MD; Richard Alan Shlofmitz5, MD; Flavio Luciano Ribichini1, MD

Abstract

Relevant calcified coronary artery disease (CCAD) may be present in around 20% of patients undergoing percutaneous coronary interventions, and it is known to add procedural challenges and risks. Careful patient selection and specific expertise in multimodality imaging and plaque modification techniques are required to plan and adopt the most appropriate therapeutic strategy. This review aims to present the contemporary clinical approach and procedural planning for CCAD patients, describing the available tools and strategies in view of the most recent scientific evidence.

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Volume 21 Number 7
Apr 7, 2025
Volume 21 Number 7
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