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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
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Interventional Options for Coronary Artery Calcification

Matthew I Tomey1, Samin K Sharma2

  • 1Icahn School of Medicine at Mount Sinai, Cardiovascular Institute, One Gustave L. Levy Place, Box 1030, New York, NY, 10029, USA.

Current Cardiology Reports
|January 16, 2016
PubMed

Insights

Severe coronary artery calcification hinders percutaneous coronary intervention. Advances in atheroablation now enable successful treatment of calcified lesions with improved safety.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Atherosclerosis Research

Background:

  • Coronary artery calcification (CAC) is a key component of atherosclerosis.
  • Moderate to severe CAC poses significant challenges during percutaneous coronary intervention (PCI).
  • Historically, PCI for calcified lesions had lower success rates and higher complication risks.

Purpose of the Study:

  • To provide an updated overview of CAC pathobiology.
  • To review current interventional management strategies for calcified coronary lesions.

Main Methods:

  • Focused review of existing literature on CAC and PCI techniques.
  • Discussion of atheroablation technologies such as rotational and orbital atherectomy.

Main Results:

  • Atheroablation technologies have significantly improved PCI success rates for calcified lesions.
  • Current techniques offer a favorable safety profile for managing complex calcified coronary lesions.

Conclusions:

  • PCI for calcified coronary lesions is now feasible with high success and safety.
  • Advances in atheroablation have transformed the management of complex coronary artery disease.

Keywords:
CalcificationComplex lesionsCoronary artery diseaseOrbital atherectomyPercutaneous coronary interventionRotational atherectomy

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