Abstract：
Calcific coronary artery stenosis is a complex disease associated with adverse outcomes and suboptimal percutaneous treatment. Calcium plaque modification has emerged as a key strategy to tackle the issues that accompany calcific stenosis - namely reduced device deliverability, unpredictable lesion characteristics, and difficult dilatation. Atherectomy has traditionally been the treatment modality of choice for heavily calcified coronary stenoses. Contemporary technologies have emerged to aid with planning, preparation, and treatment of calcified coronary stenosis in an attempt to improve procedural success and long-term outcomes. In this State Of The Art Review, we synthesize the body of data surrounding the diagnosis, imaging, and treatment of calcific coronary disease, with a focus on i) intravascular imaging, ii) calcific lesion preparation, iii) treatment modalities including atherectomy, and iv) updated treatment algorithms for the management of calcified coronary stenosis.
摘要：
钙化性冠状动脉狭窄是一种复杂的疾病，与不良结局和次优经皮治疗相关。钙斑块修饰已成为解决钙化狭窄相关问题的关键策略，即降低装置的可输送性。不可预测的病变特征，和困难的扩张。传统上，动脉粥样硬化切除术是严重钙化的冠状动脉狭窄的治疗方式。当代技术已经出现，以帮助规划，准备,和钙化冠状动脉狭窄的治疗，以提高手术成功率和长期结局。在这篇最新评论中,我们合成了围绕诊断的大量数据，成像,和治疗钙化性冠状动脉疾病，重点是i)血管内成像，ii)钙化病变准备，iii)治疗方式，包括粥样斑块切除术，和iv)更新的治疗算法的钙化冠状动脉狭窄的管理。
