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Severely Calcific Coronary Artery Lesion Interventions

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Practical Manual of Interventional Cardiology

Abstract

Calcific coronary lesions have been associated with multiple complications, including poor response to balloon angioplasty, dissection during PTCA/predilatation, difficulty in stent delivery and inadequate stent expansion [1–4]. This complexity associated with severely calcific lesion intervention has been associated with increase in-hospital (12.3% vs 1.5%) and 1-year MACE (24.2% vs. 5.4%) when compared to lesions with no/mild calcium [5]. Optimal stent delivery and apposition require adequate preparation and modification with super-high pressure noncompliant balloons, cutting balloon atherotomy or atherectomy devices.

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Correspondence to Raman Sharma .

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Sharma, R., Sharma, S.K. (2021). Severely Calcific Coronary Artery Lesion Interventions. In: Kini, A., Sharma, S.K. (eds) Practical Manual of Interventional Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-68538-6_22

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  • DOI: https://doi.org/10.1007/978-3-030-68538-6_22

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  • Online ISBN: 978-3-030-68538-6

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