Cracking the Left Main Coronary Artery Nodular Calcium With a Scoring Balloon

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2023 Sep 26

PMID 37750115

Authors

Dibyasundar Mahanta

Debasis Acharya

Debasish Das

Affiliations

Soon will be listed here.

Abstract

Nodular calcium in the coronary artery poses a great challenge during coronary intervention. Although rotational atherectomy is the preferred modality of treatment of nodular calcium, we treated the left main coronary artery (LMCA) nodular calcium with a scoring balloon during primary angioplasty of an octogenarian with anterior wall myocardial infarction and EKG suggestive of LMCA occlusion. During primary coronary angioplasty, the scoring balloon alone also sometimes suffices in achieving good angiographic results and thrombolysis in myocardial infarction grade III (TIMI III) flow.

References

Wilson S, Mone P, Kansakar U, Jankauskas S, Donkor K, Adebayo A . Diabetes and restenosis. Cardiovasc Diabetol. 2022; 21(1):23. PMC: 8845371. DOI: 10.1186/s12933-022-01460-5. View

Fonseca A, Costa Jr J, Abizaid A, Feres F, Abizaid A, Costa R . Intravascular ultrasound assessment of the novel AngioSculpt scoring balloon catheter for the treatment of complex coronary lesions. J Invasive Cardiol. 2008; 20(1):21-7. View

Scheller B, Fontaine T, Mangner N, Hoffmann S, Bonaventura K, Clever Y . A novel drug-coated scoring balloon for the treatment of coronary in-stent restenosis: Results from the multi-center randomized controlled PATENT-C first in human trial. Catheter Cardiovasc Interv. 2015; 88(1):51-9. DOI: 10.1002/ccd.26216. View

Pengchata P, Pongakasira R, Wongsawangkit N, Phichaphop A, Wongpraparut N . Characteristics and Pattern of Calcified Nodule and/or Nodular Calcification Detected by Intravascular Ultrasound on the Device-Oriented Composite Endpoint (DoCE) in Patients with Heavily Calcified Lesions Who Underwent Rotational.... J Interv Cardiol. 2023; 2023:6456695. PMC: 9884160. DOI: 10.1155/2023/6456695. View

Mody R, Dash D, Mody B, Reddy Maligireddy A, Agrawal A, Rastogi L . Can Most Calcified Coronary Stenosis Be Optimized With Coronary Intravascular Lithotripsy?. JACC Asia. 2023; 3(2):185-197. PMC: 10167520. DOI: 10.1016/j.jacasi.2022.11.016. View