The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions

Heavily calcified coronary artery lesions hinder the delivery of devices and limit stent expansion, resulting in low procedural success and poor clinical outcomes driven by an increase in restenosis and stent thrombosis. Intracoronary imaging provides a more precise assessment of lesions and is a cr...

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Autores principales: Yasushi Ueki, Tatsuhiko Otsuka, Kiyoshi Hibi, Lorenz Räber
Formato: article
Lenguaje:EN
Publicado: Radcliffe Medical Media 2019
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Acceso en línea:https://doaj.org/article/05be777f7e8b4d2991edf51d41efdcdb
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spelling oai:doaj.org-article:05be777f7e8b4d2991edf51d41efdcdb2021-12-04T16:02:08ZThe Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions10.15420/icr.2019.16.R11756-14851756-1477https://doaj.org/article/05be777f7e8b4d2991edf51d41efdcdb2019-11-01T00:00:00Zhttps://www.icrjournal.com/articles/intracoronary-imaging-coronary-physiologyhttps://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Heavily calcified coronary artery lesions hinder the delivery of devices and limit stent expansion, resulting in low procedural success and poor clinical outcomes driven by an increase in restenosis and stent thrombosis. Intracoronary imaging provides a more precise assessment of lesions and is a critical step when deciding whether the lesion needs to be prepared with atherectomy devices. Physiological assessment of lesion significance is an important consideration to avoid unnecessary stenting. This article summarises the current data on the value of intracoronary imaging and functional assessment for coronary calcified lesions and suggests a treatment strategy based on the findings of intracoronary imaging findings.Yasushi UekiTatsuhiko OtsukaKiyoshi HibiLorenz RäberRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 14, Iss 3, Pp 164-168 (2019)
institution DOAJ
collection DOAJ
language EN
topic Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
Yasushi Ueki
Tatsuhiko Otsuka
Kiyoshi Hibi
Lorenz Räber
The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions
description Heavily calcified coronary artery lesions hinder the delivery of devices and limit stent expansion, resulting in low procedural success and poor clinical outcomes driven by an increase in restenosis and stent thrombosis. Intracoronary imaging provides a more precise assessment of lesions and is a critical step when deciding whether the lesion needs to be prepared with atherectomy devices. Physiological assessment of lesion significance is an important consideration to avoid unnecessary stenting. This article summarises the current data on the value of intracoronary imaging and functional assessment for coronary calcified lesions and suggests a treatment strategy based on the findings of intracoronary imaging findings.
format article
author Yasushi Ueki
Tatsuhiko Otsuka
Kiyoshi Hibi
Lorenz Räber
author_facet Yasushi Ueki
Tatsuhiko Otsuka
Kiyoshi Hibi
Lorenz Räber
author_sort Yasushi Ueki
title The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions
title_short The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions
title_full The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions
title_fullStr The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions
title_full_unstemmed The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions
title_sort value of intracoronary imaging and coronary physiology when treating calcified lesions
publisher Radcliffe Medical Media
publishDate 2019
url https://doaj.org/article/05be777f7e8b4d2991edf51d41efdcdb
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