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

E. Shlofmitz, Zucker School of Medicine at Hofstra/Northwell
F. A. Sosa
Z. A. Ali
R. Waksman
A. Jeremias
R. Shlofmitz

Abstract

© 2019, Springer Science+Business Media, LLC, part of Springer Nature. 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.