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

  • Intravascular Imaging (A Truesdell, Section Editor)
  • Published:
Current Cardiovascular Imaging Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Our objective is to review the current status of OCT-guided treatment of calcified coronary artery disease.

Recent Findings

New treatment modalities provide multiple options for approaching interventions involving calcified lesions.

Summary

Coronary 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.

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Author information

Authors and Affiliations

  1. MedStar Washington Hospital Center, 110 Irving Street NW, Suite 4B1, Washington, DC, 20010, USA

    Evan Shlofmitz & Ron Waksman

  2. Abbott Vascular, Santa Clara, CA, USA

    Fernando A. Sosa

  3. St. Francis Hospital - The Heart Center, Roslyn, NY, USA

    Ziad A. Ali, Allen Jeremias & Richard Shlofmitz

  4. Cardiovascular Research Foundation, New York, NY, USA

    Ziad A. Ali & Allen Jeremias

  5. Columbia University Medical Center, New York, NY, USA

    Ziad A. Ali

Authors
  1. Evan Shlofmitz
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  2. Fernando A. Sosa
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  4. Ron Waksman
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Corresponding author

Correspondence to Evan Shlofmitz.

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Conflict of Interest

F. Sosa is an employee of Abbott Vascular.

Z. Ali has served as a consultant to Abbott Vascular, Boston Scientific, Opsens Medical, Cardinal Health, and Canon; has equity/options in Shockwave Medical; and has received research grants from Abbott Vascular, the National Heart, Lung, and Blood Institute, and Cardiovascular Systems Inc.

R. Waksman has served on the advisory boards of Abbott Vascular, Amgen, Boston Scientific, Cardioset, Cardiovascular Systems Inc., Medtronic, Philips, and Pi-Cardia Ltd.; as a consultant for Abbott Vascular, Amgen, Biosensors, Biotronik, Boston Scientific, Cardioset, Cardiovascular Systems Inc., Medtronic, Philips, and Pi-Cardia Ltd.; has received grant support from Abbott Vascular, AstraZeneca, Biosensors, Biotronik, Boston Scientific, and Chiesi; has served on the speakers bureaus of AstraZeneca and Chiesi; and has invested in MedAlliance.

A. Jeremias has received educational grants from and served as a consultant for Abbott Vascular and Philips; and has served as a consultant for Opsens.

All other authors have no conflict of interest to disclose.

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Shlofmitz, E., Sosa, F.A., Ali, Z.A. et al. OCT-Guided Treatment of Calcified Coronary Artery Disease: Breaking the Barrier to Stent Expansion. Curr Cardiovasc Imaging Rep 12, 32 (2019). https://doi.org/10.1007/s12410-019-9509-1

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