Calcium Corner: Cases

Case + Interview

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

11/07/2021

Srinivasa Potluri, MD, FACC, FSCAI

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

Mahmoud Sabbah, MD, PhD; Ota Hlinomaz, MD, PhD; Miloslav Tejc, MD

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; Konstantina Katsanou, MD; Michalis Koutouzis, MD, PhD; Apostolos Katsivas, MD, PhD

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

Harol Hernandez, MD; Lorena Martin-Polo, MD; Ariana Gonzalvez-Garcia, MD; Raúl Moreno-Gómez, MD, PhD; Alfonso Jurado-Román, MD, PhD; Guillermo Galeote, MD, PhD; Santiago Jimenez-Valero, MD, PhD; Jose Luis Lopez-Sendon, MD, PhD

To our knowledge, this is the first OCT description of this complication.

To our knowledge, this is the...

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, MD, DM; Basant Kumar, MD; Saroj Sahoo, MD; Sudhanshu Budhakoty, MD; Ganesh Kasinadhuni, MD

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

Corrado Tamburino, MD, PhD, FESC, FSCAI; Alessio La Manna, MD; Guido D'Agosta, MD; Giuseppe Venuti, MD

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 Obaid, MBBCh, PhD; Alexander J. Chase, MBBCh, PhD, MBBS, MD; Dave Smith, BM, MD

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

Samir Kammoun, MD, PhD; Amine Bahloul, MD; Hela Sarray, MD; Yassmine Kammoun, MD; Tarek Ellouz, MD; Mourad Hentati, MD, PhD; Leila Abid, MD, PhD

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, MD, DO, FACC, FSCAI

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 S. El-Jack, MBBS, MD

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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