Summary
Dr Allen Jeremias gives an overview of the problems posed by calcified lesions, and how IVUS can help you overcome this when planning and performing PCI
- The technical challenges with severely calcified lesions: underexpansion, asymmetric expansion, malopposition
- Higher incidence of MACE with severe calcification
- Underestimation of calcification with angiography leading to indaequate vessel preparation
- Differences between IVUS and OCT detection of calcium
- How the extent of calcification impacts on PCI strategy, result of PCI and outcomes
- The role of adjuncts such as rotational atherectomy, orbital atherectomy and laser in treating severe calcification
- In-stent restenosis: challenges faced and treatment options
