Contemporary PCI & Calcium Management Strategies, A Case-Based Discussion-Case 1: Complex Coronary Nodular Lesion: A Case in Calcium Modification

Case 1: Complex Coronary Nodular Lesion: A Case in Calcium Modification

Video Transcription

Video Summary

The transcript discusses a case of a patient with complex coronary artery disease and nodular calcium lesions. The patient had multiple health issues including a paraplegic condition and advanced diabetes, making treatment challenging. The cardiologist used a strategy of complex disease management and performed angioplasty with stenting. However, they encountered difficulties due to the presence of nodular calcium in the coronary arteries. Nodular calcium is a type of calcified plaque that can affect stent deployment and long-term outcomes. The cardiologist used different techniques such as scoring balloons to modify the calcium, but the nodules remained unchanged, causing deformities in the stents. The video transcript highlights the need for further research and guidance on how to effectively treat nodular calcium lesions. It also mentions the potential use of technologies like shockwave therapy in managing these challenging cases.

Asset Subtitle

Khaldoon Alaswad, MD, FSCAI

Keywords

coronary artery disease

nodular calcium lesions

complex disease management

angioplasty with stenting

calcified plaque

stent deployment