Complex PCI - Calcified Lesion
A Challenging Case Report: How Shockwave Therapy Made a Difference in Calcified Coronary Intervention
Khor Leet Ming1, Datuk Kumara Gurupparan2, Mugilan Sundarajoo3
Hospital Pulau Pinang, Malaysia1, National Heart Institute, Malaysia2, National Heart Institute Ijn, Malaysia3,
Use of guide extension catheter for backup support can facilitate difficult balloon and stent delivery in calcified or tortuous coronary arteries.
Need for calcium modification therapies in calcified coronary artery disease if unable to achieve adequate predilatation despite high pressure scoring or cutting balloons to ensure good stent expansion.
Intravascular lithotripsy (IVL) is a good choice of calcium modification therapy which targets both superficial and deep calcium.
Graft intervention is indicated in isolated graft stenosis.
Native coronary intervention may be needed in occluded grafts.