Contemporary Interventional Approach to Calcified Coronary Artery Disease

Abstract

Calcific coronary artery disease is an increasingly prevalent entity in the catheterization laboratory which has implications for stenting and expected outcomes. With new interventional techniques and equipment, strategies to favorably modify coronary calcium prior to stenting continue to evolve. This paper sought to review the latest advances in the management of severe coronary artery calcification in the catheterization laboratory and discuss contemporary percutaneous interventional approaches.

Keywords: Calcium; Intravascular lithotripsy; Orbital atherectomy; Percutaneous coronary intervention; Rotational atherectomy.