Calcium Corner: Cases

Case + Interview

Safe and Effective Calcium Modification in Severe Ostial Right Coronary Artery Stenosis

11/07/2021

Srini Potluri, MD, FACC, FSCAI, Chair, Department of Cardiology; Director, Cardiac Catheterization Laboratory; Program Director, Interventional Cardiology Fellowship; Baylor Scott and White, The Heart Hospital Plano, Plano, Texas

Srini Potluri, MD, FACC, FSCAI, Chair...

The patient is an 86-year-old male with known coronary artery disease (CAD). Three years ago, he had robotic left internal mammary artery (LIMA) graft to the left anterior descending (LAD) and percutaneous coronary intervention (PCI) of the...

The patient is an 86-year-old...

11/07/2021

Cath Lab Digest

CLINICAL IMAGES

Shockwave Lithotripsy vs Rotational Atherectomy: Mechanistic Differences From Optical Coherence Tomography

02/01/2021

Ota Hlinomaz, MD, PhD¹; Miloslav Tejc, MD²; Mahmoud Sabbah, MD, PhD^1,3

Ota Hlinomaz, MD, PhD1; Miloslav Tej...

This case highlights that rotational atherectomy is merely paving the road and may help in superficial calcifications. It also showed the useful role of optical coherence tomography (OCT) for guiding the appropriate treatment strategy....

This case highlights that...

02/01/2021

Journal of Invasive Cardiology

CLINICAL IMAGES

Shockwave Intravascular Lithotripsy of Undilatable STEMI Lesion in Primary PCI

01/01/2021

Ioannis Tsiafoutis, MD; Konstatina Katsanou, MD; Michael Koutouzis, MD, PhD; Apostolos Katsivas, MD, PhD

Ioannis Tsiafoutis, MD; Konstatina Ka...

J INVASIVE CARDIOL 2021;33(1):E67-E68. Key words: cardiac imaging, Shockwave lithotripsy

J INVASIVE CARDIOL...

01/01/2021

Journal of Invasive Cardiology

Clinical Images

Coronary Perforation After Excimer Laser Coronary Angioplasty at a Calcium Nodule

07/26/2020

Alfonso Jurado-Román, MD, PhD; Harol Hernandez, MD; Santiago Jiménez-Valero, MD; Lorena Martín-Polo, MD; Guillermo Galeote, MD, PhD; Ariana Gonzálvez, MD; Raúl Moreno, MD, PhD; Jose Luis López-Sendón, MD, PhD

Alfonso Jurado-Román, MD, PhD; Harol ...

J INVASIVE CARDIOL 2020;32(8):E226-E227. Key words: coronary perforation, calcification, excimer laser coronary angioplasty

J INVASIVE CARDIOL...

07/26/2020

Journal of Invasive Cardiology

Clinical Images

Optical Coherence Tomography Imaging in Acute Myocardial Infarction: Calcified Nodule as a Culprit Lesion

06/30/2020

Rajesh Vijayvergiya, MD¹; Basant Kumar, MD; Saroj Sahoo, MD; Sudhanshu Budhakoty, MD; Ganesh Kasinadhuni, MD

Rajesh Vijayvergiya, MD1; Basant Kuma...

A calcified nodule is an infrequent pathological substrate in acute coronary syndrome patients. This case demonstrates the technical challenges of intervening an eccentric, severely calcified, balloon-uncrossable coronary lesion.

A calcified nodule is an...

06/30/2020

Journal of Invasive Cardiology

Clinical Images

Cracking the Plaque With Coronary Lithotripsy: Mechanistic Insights From Optical Coherence Tomography

12/30/2019

Alessio La Manna, MD; Guido D’Agosta, MD; Giuseppe Venuti, MD; Corrado Tamburino, MD, PhD

Alessio La Manna, MD; Guido D’Agosta...

Coronary lithoplasty is a promising technique that can overcome issues regarding the treatment of undilatable, heavily calcified, de novo, and in-stent restenotic lesions, allowing plaque modification and successful stent deployment, as...

Coronary lithoplasty is a...

12/30/2019

Journal of Invasive Cardiology

Clinical Images

3D Optical Coherence Tomography Reveals Fractured Coronary Stent as Cause of Acute Myocardial Infarction

08/27/2019

Daniel R. Obaid, PhD, MA(Cantab), MRCP(UK); Alexander J. Chase, MBBS, PhD; Dave Smith, BM, MD

Daniel R. Obaid, PhD, MA(Cantab), MRC...

3D-OCT revealed extensive fracture and distortion of the struts in the distal portion of a stent, presumably caused by aggressive postdilation at the time of implantation. This was managed successfully with the insertion of a new coronary...

3D-OCT revealed extensive...

08/27/2019

Journal of Invasive Cardiology

Case Report

Noncompliant, High-Pressure Balloon and Calcified, Undilatable Coronary Lesions

07/08/2019

Amin Bahloul, MD, Hela Sarray, MD, Yassmine Kammoun, MD,
Tarek Ellouz, MD, Mourad Hentati, MD, PhD, Leila Abid, MD, PhD,
Samir Kammoun, MD, PhD, Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia

Amin Bahloul, MD, Hela Sarray, MD, Ya...

Optimal stent deployment can become a challenge for the interventional cardiologist, especially when it involves calcified, undilatable lesions. Various technologies have been developed to tackle this scenario and the super high-pressure...

Optimal stent deployment can...

07/08/2019

Cath Lab Digest

CLINICAL IMAGES

Modified Sleeve Technique for Calcified Coronary Bifurcations

02/24/2019

Zaheed Tai, DO

This modification of the GuideLiner technique is useful for left main and non-left main bifurcations.

This modification of the...

02/24/2019

Journal of Invasive Cardiology

Case Study

Shockwave Intravascular Lithotripsy to Unprotected Left Main Stem: Pushing the Boundaries of Calcified Plaque Intervention

02/01/2019

Bernard Wong, MBChB, Aleksandar Cicovic, MBChB, Guy Armstrong, MBChB, Seif El-Jack, MBBS, Department of Cardiology, Waitemata District Health Board, Auckland, New Zealand

Bernard Wong, MBChB, Aleksandar Cicov...

While traditional calcium modification devices like rotational atherectomy may have a role in treating concentric calcium, their role in eccentric calcium is unclear. Intravascular lithotripsy (IVL) (Shockwave Medical) is a newly available...

While traditional calcium...

02/01/2019

Cath Lab Digest

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