OCT-Guided Treatment of Calcified Coronary Artery Disease: Breaking the Barrier to Stent Expansion

AbstractPurpose of ReviewOur objective is to review the current status of OCT-guided treatment of calcified coronary artery disease.Recent FindingsNew treatment modalities provide multiple options for approaching interventions involving calcified lesions.SummaryCoronary artery calcification is associated with stent underexpansion and worse procedural outcomes. Optimizing stent expansion is essential to reduce restenosis and the need for revascularization. Optical coherence tomography (OCT) allows for accurate diagnosis and detailed characterization of calcified lesions. The features of coronary artery calcification are determinant of the optimal lesion preparation and treatment strategy. We recommend an OCT-guided treatment approach for calcified coronary lesions.
Source: Current Cardiovascular Imaging Reports - Category: Radiology Source Type: research