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Current role of intravascular imaging in percutaneous treatment of calcified coronary lesions.
Rakotoarison, Oscar; Roleder, Tomasz; Zimoch, Wojciech; Kuliczkowski, Wiktor; Reczuch, Krzysztof; Kübler, Piotr.
Afiliación
  • Rakotoarison O; Institute of Heart Diseases, Wroclaw Medical University, Poland.
  • Roleder T; Institute of Heart Diseases, Jan Mikulicz-Radecki University Hospital, Wroclaw, Poland.
  • Zimoch W; Department of Cardiology, J. Gromkowski Regional Specialist Hospital, Wroclaw, Poland.
  • Kuliczkowski W; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Reczuch K; Institute of Heart Diseases, Wroclaw Medical University, Poland.
  • Kübler P; Institute of Heart Diseases, Jan Mikulicz-Radecki University Hospital, Wroclaw, Poland.
Adv Clin Exp Med ; 2024 Jan 18.
Article en En | MEDLINE | ID: mdl-38235993
ABSTRACT
Percutaneous treatment of calcified coronary lesions is still a challenge in modern interventional cardiology practice. Coronary angiography is limited to the precise and quantitative assessment of calcium in coronary arteries. Intracoronary imaging (ICI) modalities, including optical coherence tomography (OCT) and intravascular ultrasound (IVUS), produce a very detailed image of calcifications and could help in proper percutaneous treatment. Intracoronary imaging indicates the need to use additional tools and improves the final effect of an intervention. Drawing on the already published literature, the authors focused on the qualification of patients to the procedure, conduct and result of interventional procedures involving calcified lesions supported by ICI. The article shows the advantages and disadvantages of both ICI methods in general and especially in calcified lesions. Currently available tools dedicated to dealing with coronary calcium and helping to meet optimal stent implantation criteria are also described. This article reviews the data on ICI implementation in daily clinical practice to improve the results of percutaneous interventions, and indicates further directions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Clin Exp Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Clin Exp Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia