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.

Sign in to read
the full article

Forgot your password?
No account yet?
Sign up for free!

Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Volume 21 Number 7
Apr 7, 2025
Volume 21 Number 7
View full issue


Key metrics

Suggested by Cory

10.4244/EIJV10I4A91 Aug 19, 2014
How should I treat an undeployed stent stuck in the proximal LAD? Going for another round...
Locca D and Eeckhout E
free

10.4244/EIJV7I3A65 Jul 29, 2011
How should I treatsevere calcific coronary artery disease?
Fernandez J et al
free

Editorial

10.4244/EIJ-E-23-00056 Jan 1, 2024
The first cut is the deepest – a solution for treating calcified lesions?
Mashayekhi K and Moos S
free

10.4244/EIJV9I9A188 Jan 20, 2014
Tools and Techniques Clinical: Percutaneous intervention of calcific coronary lesions
Costopoulos C et al
free

Debate

10.4244/EIJ-E-23-00002 Jun 5, 2023
All calcified nodules are made equal and require the same approach: pros and cons
Guagliumi G et al
free
Trending articles
318.1

State-of-the-Art Review

10.4244/EIJ-D-21-00695 Nov 19, 2021
Transcatheter treatment for tricuspid valve disease
Praz F et al
free
116.75

State-of-the-Art

10.4244/EIJ-D-24-00066 Apr 21, 2025
Management of complications after valvular interventions
Bansal A et al
free
108.3

Viewpoint

10.4244/EIJ-E-22-00007 May 15, 2022
TAVI at 20: how a crazy idea led to a clinical revolution
Eltchaninoff H et al
free
91.6

Image – Interventional flashlight

10.4244/EIJ-D-22-00344 Aug 5, 2022
First dedicated transcatheter leaflet splitting device: the ShortCut device
Tchétché D et al
free
71.3

State-of-the-art

10.4244/EIJ-D-22-00627 Feb 6, 2023
Left atrial appendage occlusion
Holmes D et al
free
68.9

State-of-the-Art

10.4244/EIJ-D-24-00992 Sep 15, 2025
Antithrombotic therapy in complex percutaneous coronary intervention
Castiello D et al
free
60.65

Clinical research

10.4244/EIJ-D-20-01155 Oct 20, 2021
A deep learning algorithm for detecting acute myocardial infarction
Liu W et al
free
49.55

CLINICAL RESEARCH

10.4244/EIJ-D-17-00962 Apr 6, 2018
A new optical coherence tomography-based calcium scoring system to predict stent underexpansion
Fujino A et al
free
X

PCR
Impact factor: 9.5
2024 Journal Citation Reports®
Science Edition (Clarivate Analytics, 2025)
Online ISSN 1969-6213 - Print ISSN 1774-024X
© 2005-2025 Europa Group - All rights reserved