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Updated: Apr 30, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Non-coronary atherosclerosis
Augusto Gallino1, Victor Aboyans, Curt Diehm
1Division of Vascular Medicine, Ospedale San Giovanni, 6500 Bellinzona, Switzerland.
Atherosclerosis often affects arteries beyond the heart, particularly in the lower extremities. Increased awareness and an interdisciplinary approach are crucial for managing this multifocal disease and its prognostic implications.
Area of Science:
- Cardiovascular Medicine
- Vascular Biology
Background:
- Clinical focus on atherosclerosis has historically centered on coronary arteries.
- Recent guidelines and registries highlight peripheral artery disease and multifocal atherosclerosis.
- Awareness of non-coronary atherosclerosis and its prognostic impact remains low.
Purpose of the Study:
- To enhance awareness of non-coronary atherosclerosis and its clinical significance.
- To emphasize the importance of atherosclerosis involvement across different arterial territories.
- To propose recommendations for managing multifocal atherosclerosis.
Main Methods:
- Review of current literature and guidelines on peripheral artery disease.
- Analysis of the clinical presentation, diagnosis, and co-existence of atherosclerosis in distinct arterial territories.
- Synthesis of expert opinion from an ESC Working Group meeting.
Main Results:
- Atherosclerosis is a widespread disease affecting multiple arterial beds, not just the coronary arteries.
- Non-coronary atherosclerosis, especially in lower extremities, carries significant prognostic implications.
- An interdisciplinary approach is essential for comprehensive management.
Conclusions:
- Elevating awareness of non-coronary atherosclerosis is critical for the medical community and public.
- Integrated management strategies are needed to address the complexity of multifocal atherosclerosis.
- Further research and clinical guidelines are necessary to improve patient outcomes.
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