SCAI Expert Consensus Statement on the Management of Calcified Coronary Lesions

Faculty and Program

	Alexandra Lansky, MD, MSCA Yale University Moderator		Binita Shah, MD, FSCAI NYU School of Medicine Presenting Author
	Robert F. Riley, MD, FSCAI Overlake Medical Center		Daniel Chamié Yale University

Description
The prevalence of coronary artery calcification (CAC) related to obstructive coronary artery disease (CAD) is rising due to the increasing burden of comorbidities associated with vascular calcification. Percutaneous coronary intervention (PCI) of calcified coronary lesions is associated with lower procedural success and increased risk for both early and late complications as coronary calcification can impede stent delivery and deployment, lead to stent underexpansion and malapposition, and directly damage stents. Intravascular imaging is increasingly recognized as an intraprocedural tool that can identify the extent, phenotype, and location of calcium in the target coronary artery and guide use of calcium modification strategies that may lead to optimal stent deployment with a decreased risk of adverse events. There is a growing number of adjunctive devices to facilitate PCI in calcified lesions, including specialty balloons, atherectomy devices, and intravascular lithotripsy (IVL). Given the increasing prevalence of calcified CAD, the expanding role of intravascular imaging during PCI of calcified CAD, and the expanding portfolio of treatment devices available, the Society for Cardiovascular Angiography & Interventions (SCAI) has developed an expert consensus statement to address the treatment of calcified coronary lesions.

Acknowledgement of Commercial Support

This activity is supported by an unrestricted educational grant from Abbott, Boston Scientific, and Shockwave Medical.

Learning Objectives

Upon completion of this activity, participants will be able to:

Describe the relationship between coronary artery calcification (CAC) and obstructive coronary artery disease (CAD).
Discuss the Role of Intravascular imaging in managing calcified coronary lesions.
Assess adjunctive devices for PCI in calcified lesions.

Accredited Continuing Education Information

Accreditation Statement
The Society for Cardiovascular Angiography and Interventions (SCAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation
SCAI designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 0.5 MOC points in the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABIM MOC credit.

Successful Completion
Watch the content and complete the evaluation to obtain credit.

Activity Timeline
Published: March 26, 2024
Expires: March 26, 2025

Summary


Availability:	On-Demand
	Expires on Mar 26, 2025


Cost:	FREE


Credit Offered:	0.5 CME Credit 0.5 ABIM-MOC Point 0.5 Participation Credit