Complications of percutaneous coronary interventions in calcified lesions: Causes, recognition, management, and how to avoid

Subhash Banerjee, Amer Alaiti

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Percutaneous coronary interventions (PCIs) are the main stay treatment for patients with atherosclerosis. While plaque debulking and modification is a recognized percutaneous revascularization strategy, the mere presence of coronary artery calcifications serves as a notorious marker of challenging percutaneous interventions. As complications can be encountered during debulking interventions and with awareness of the need to reduce their occurrence, this chapter describes clinical scenarios that can lead to complications during PCI of calcified coronary lesions. Illustrative case examples highlight the aspects of detection, treatment, and device-related complications during PCI of calcified lesions together with recommendations of steps to mitigate and manage them.

Original languageEnglish (US)
Title of host publicationDebulking in Cardiovascular Interventions and Revascularization Strategies
Subtitle of host publicationBetween a Rock and the Heart
PublisherElsevier
Pages311-319
Number of pages9
ISBN (Electronic)9780128214510
DOIs
StatePublished - Jan 1 2022
Externally publishedYes

Keywords

  • Atherosclerosis
  • Coronary
  • Coronary calcification
  • Coronary revascularization
  • Debulking
  • PCI

ASJC Scopus subject areas

  • Medicine(all)

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