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      Contemporary percutaneous management of coronary calcification: current status and future directions

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          Abstract

          Severe coronary artery calcification is one of the greatest challenges in attaining success in percutaneous coronary intervention, limiting acute and long-term results. In many cases, plaque preparation is a critical prerequisite for delivery of devices across calcific stenoses and also to achieve adequate luminal dimensions. Recent advances in intracoronary imaging and adjunctive technologies now allow the operator to select the most appropriate strategy in each individual case. In this review, we will revisit the distinct advantages of a complete assessment of coronary artery calcification with imaging and application of appropriate and contemporary plaque modification technologies in achieving durable results in this complex lesion subset.

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          Lessons From Sudden Coronary Death

          Renu Virmani, Frank Kolodgie, Allen P Burke … (2000)
          Arteriosclerosis, Thrombosis, and Vascular Biology, 20(5), 1262-1275
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            Coronary CT Angiography and 5-Year Risk of Myocardial Infarction

            (2018)
            Although coronary computed tomographic angiography (CTA) improves diagnostic certainty in the assessment of patients with stable chest pain, its effect on 5-year clinical outcomes is unknown.
            Article 0 comments Cited 285 times – based on 0 reviews     Review now
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              Consensus standards for acquisition, measurement, and reporting of intravascular optical coherence tomography studies: a report from the International Working Group for Intravascular Optical Coherence Tomography Standardization and Validation.

              Guillermo Tearney, Evelyn Regar, Takashi Akasaka … (2012)
              The purpose of this document is to make the output of the International Working Group for Intravascular Optical Coherence Tomography (IWG-IVOCT) Standardization and Validation available to medical and scientific communities, through a peer-reviewed publication, in the interest of improving the diagnosis and treatment of patients with atherosclerosis, including coronary artery disease. Intravascular optical coherence tomography (IVOCT) is a catheter-based modality that acquires images at a resolution of ~10 μm, enabling visualization of blood vessel wall microstructure in vivo at an unprecedented level of detail. IVOCT devices are now commercially available worldwide, there is an active user base, and the interest in using this technology is growing. Incorporation of IVOCT in research and daily clinical practice can be facilitated by the development of uniform terminology and consensus-based standards on use of the technology, interpretation of the images, and reporting of IVOCT results. The IWG-IVOCT, comprising more than 260 academic and industry members from Asia, Europe, and the United States, formed in 2008 and convened on the topic of IVOCT standardization through a series of 9 national and international meetings. Knowledge and recommendations from this group on key areas within the IVOCT field were assembled to generate this consensus document, authored by the Writing Committee, composed of academicians who have participated in meetings and/or writing of the text. This document may be broadly used as a standard reference regarding the current state of the IVOCT imaging modality, intended for researchers and clinicians who use IVOCT and analyze IVOCT data. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
              Article 0 comments Cited 253 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Open Heart
                Journal ID (iso-abbrev): Open Heart
                Journal ID (hwp): openhrt
                Journal ID (publisher-id): openheart
                Title: Open Heart
                Publisher: BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                ISSN (Electronic): 2053-3624
                Publication date Collection: 2023
                Publication date (Electronic): 16 February 2023
                Volume: 10
                Issue: 1
                Electronic Location Identifier: e002182
                Affiliations
                [1 ]Hospital Clinico San Carlos Instituto Cardiovascular , Madrid, Comunidad de Madrid, Spain
                [2 ]King’s College Hospital NHS Foundation Trust , London, UK
                [3 ]School of Cardiovascular Medicine & Sciences, BHF Centre of Excellence, King’s College London , London, UK
                [4 ]departmentDepartment of Medicine , The University of Melbourne , Melbourne, Victoria, Australia
                [5 ]The Heart Center , Roslyn, New York, USA
                [6 ]Royal Brompton Hospital , London, UK
                Author notes
                [Correspondence to ] Dr Nilesh Pareek; nileshpareek@ 123456nhs.net
                Author information
                http://orcid.org/0000-0002-0420-943X
                Article
                Publisher ID: openhrt-2022-002182
                DOI: 10.1136/openhrt-2022-002182
                PMC ID: 9936324
                PubMed ID: 36796870
                SO-VID: 90c7cb6b-a44a-442d-af32-ba33683edce4
                Copyright © © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
                License:

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                Date received : 20 October 2022
                Date accepted : 20 January 2023
                Categories
                Subject: Coronary Artery Disease
                Subject: 1506
                Series title: Review
                Custom metadata
                special-feature unlocked

                Keywords: coronary stenosis,atherosclerosis,percutaneous coronary intervention
                Data availability:
                Keywords: coronary stenosis, atherosclerosis, percutaneous coronary intervention

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