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Cardiologia Croatica, Vol. 18 No. 3-4, 2023.

Meeting abstract

https://doi.org/10.15836/ccar2023.66

Interventions in severely calcified coronary stenoses: lithotripsy or rotablation

Matija Vrbanić orcid id orcid.org/0000-0002-3229-9436 ; University Hospital Dubrava, Zagreb, Croatia
Kristijana Radić ; University Hospital Dubrava, Zagreb, Croatia
Ljiljana Švađumović orcid id orcid.org/0000-0002-9068-2716 ; University Hospital Dubrava, Zagreb, Croatia
Vlatka Funduk ; University Hospital Dubrava, Zagreb, Croatia
Darko Navoj orcid id orcid.org/0000-0001-8899-6524 ; University Hospital Dubrava, Zagreb, Croatia
Biljana Šego orcid id orcid.org/0000-0002-0806-1233 ; University Hospital Dubrava, Zagreb, Croatia
Zoran Marić orcid id orcid.org/0000-0002-9121-4631 ; University Hospital Dubrava, Zagreb, Croatia
Marina Budetić orcid id orcid.org/0000-0002-1165-7097 ; University Hospital Dubrava, Zagreb, Croatia
Mirela Adamović orcid id orcid.org/0000-0003-4922-7436 ; University Hospital Dubrava, Zagreb, Croatia
Ivica Benko orcid id orcid.org/0000-0002-1878-0880 ; University Hospital Dubrava, Zagreb, Croatia
Irzal Hadžibegović orcid id orcid.org/0000-0002-3768-9134 ; University Hospital Dubrava, Zagreb, Croatia

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Abstract

Keywords

calcium; coronary artery disease; rotablation; intravascular lithotripsy

Hrčak ID:

295843

URI

https://hrcak.srce.hr/295843

Publication date:

16.3.2023.

Visits: 511 *

Copyright: 2023, Croatian Cardiac Society

Date received: 18 February 2023

Date accepted: 22 February 2023

Publication date (print and electronic): March 2023

Volume: 18

Issue: 3-4

Page: 66

Publisher ID: CC 2022 18_3-4_66

DOI: 10.15836/ccar2023.66

Article Information (continued)

Categories:

Subject: Extended Abstract

KEYWORDS: :

KEYWORDS:

Keyword: calcium

Keyword: coronary artery disease

Keyword: rotablation

Keyword: intravascular lithotripsy

Interventions in severely calcified coronary stenoses: lithotripsy or rotablation

[https://orcid.org/0000-0002-3229-9436] Matija Vrbanić[*]

[https://orcid.org/0000-0002-6098-254X] Kristijana Radić

[https://orcid.org/0000-0002-9068-2716] Ljiljana Švađumović

[https://orcid.org/0000-0001-7070-188X] Vlatka Funduk

[https://orcid.org/0000-0001-8899-6524] Darko Navoj

[https://orcid.org/0000-0002-0806-1233] Biljana Šego

[https://orcid.org/0000-0002-9121-4631] Zoran Marić

[https://orcid.org/0000-0002-1165-7097] Marina Budetić

[https://orcid.org/0000-0003-4922-7436] Mirela Adamović

[https://orcid.org/0000-0002-1878-0880] Ivica Benko

[https://orcid.org/0000-0002-3768-9134] Irzal Hadžibegović

 

University Hospital Dubrava, Zagreb, Croatia

Author notes:

Correspondence to: [*] ADDRESS FOR CORRESPONDENCE: Matija Vrbanić, Klinička bolnica Dubrava, Avenija Gojka Šuška 6, HR-10000 Zagreb, Croatia. / Phone: +385-91-2112-007 / E-mail: matija.vrbanic23@gmail.com

Severely calcified coronary lesions represent up to 30-40% of all coronary stenoses, and bring greater risk of complications and recurrent events. Materials like non-compliant balloon, scoring and super-high pressure balloons, together with debulking devices (rotablation and intravascular lithotripsy) are essential in calcium management. Despite the availability of several plaque modification devices, their rates of use remain low despite the prevalence of the coronary artery calcium encountered in clinical practice. (1,2) Percutaneous coronary intervention (PCI) in a severely calcified coronary artery is often complex and requires knowledge of materials and methods. Patients with severely calcified lesions are older, more fragile and with more comorbidities and have a harder time tolerating more complex procedures. It is important to understand how each device can be utilized in clinical practice to improve outcomes after PCI. We will present the problems encountered during PCI in severely calcified coronary artery stenoses. We will refer to the guidelines, methods and algorithm of procedures when using rotablation and intravascular lithotripsy in our Cath Lab.

LITERATURE

1 

Burke L, Graham JJ. Percutaneous management of calcified coronary arteries - review of atherectomy and lithotripsy devices and why it is important. Curr Opin Cardiol. 2021 September 1;36(5):630–6. https://doi.org/10.1097/HCO.0000000000000871 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/33929366

2 

Brinton TJ, Ali ZA, Hill JM, Meredith IT, Maehara A, Illindala U, et al. Feasibility of Shockwave Coronary Intravascular Lithotripsy for the Treatment of Calcified Coronary Stenoses. Circulation. 2019 February 5;139(6):834–6. https://doi.org/10.1161/CIRCULATIONAHA.118.036531 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/30715944

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