Work

Right Coronary Artery Calcified Nodule Pre-TAVI Treatment Facilitated by ELCA Atherectomy

Year: 2025

Type: article

Abstract: BACKGROUND: Managing calcified nodules remains a clinical challenge. CASE SUMMARY: A 77-year-old man underwent coronary angiography during pre-transcatheter aortic valve implantation workout, showing a severe middle right coronary artery stenosis associated with a suspicious angiographic calcified nodule. Excimer laser was used for plaque preparation and for facilitating subsequent optical coherence tomography intracoronary imaging-guided percutaneous coronary intervention (PCI). Excimer laser coronary angioplasty was successfully performed, with a good final PCI result. DISCUSSION: This case illustrates the practical application of a niche device (eg, excimer laser coronary angioplasty) as a useful tool to tackle calcified nodules and to allow a state-of-the-art PCI.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2024.103029

Authors: Marco Lombardi, Luca Paolucci, Antonio Fernández Ortiz, Iván J. Núñez-Gil

Institutions: Universidad Complutense de Madrid, Hospital Clínico San Carlos, University of Genoa, Hospital Universitario de Torrejón, Universidad Europea de Madrid

Language: English

Topic: Coronary Interventions and Diagnostics

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850