Chapter 4 - Abrasion, grinding, pulverization, vaporization, and extraction: debulking options for percutaneous coronary interventions of calcified coronary lesions

Abstract

Calcified coronary lesions present a unique challenge for patients undergoing percutaneous coronary interventions (PCI). A higher prevalence of calcific lesions is seen in men and older patients, while diabetes, chronic kidney disease, and tobacco use are significant risk factors. Calcific lesions have been associated with an increased risk of stent thrombosis, restenosis, and major adverse cardiac outcomes (MACE). Larger plaque burden and increased lesion complexity, such as bifurcation or chronic total occlusion, are commonly seen with calcific coronary lesions.