SCAI Expert Consensus Statement on the Management of Calcified Coronary Lesions: Journal CME-SCAI Expert Consensus Statement on the Management of Calcified Coronary Lesions

SCAI Expert Consensus Statement on the Management of Calcified Coronary Lesions

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The Society for Cardiovascular Angiography and Interventions (SCAI) has released an expert consensus statement on the management of calcified coronary lesions. The document provides guidelines for identifying different types of calcified coronary lesions and offers treatment strategies for optimizing percutaneous coronary intervention (PCI) outcomes. The prevalence of calcification in obstructive coronary artery disease is increasing, and PCI of such lesions is associated with higher risks. The consensus statement discusses various treatment modalities geared toward calcium modification prior to stent implantation, including the use of balloons, rotational atherectomy, orbital atherectomy, laser atherectomy, and intravascular lithotripsy. Intravascular imaging, specifically intravascular ultrasound (IVUS) and optical coherence tomography (OCT), are recognized as important tools for identifying the extent and location of calcium and guiding treatment decisions. The document also provides a treatment algorithm for calcified coronary artery disease (CAD) and highlights emerging trials and therapies in this field. It emphasizes the need for a tailored approach to treating calcified coronary lesions based on individual patient characteristics and lesion complexity. Overall, the consensus aims to provide guidance to clinicians in the management of this challenging subset of patients undergoing PCI, with the goal of achieving high-quality outcomes.

Keywords

Society for Cardiovascular Angiography and Interventions

expert consensus statement

calcified coronary lesions

management

percutaneous coronary intervention

PCI outcomes

calcification

treatment strategies

calcium modification

intravascular imaging