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Journal articles on the topic 'Coronary artery lesions'

Author: Grafiati

Published: 4 June 2025

Last updated: 15 July 2025

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1

Jyotsna, Maddury. "Cardiac Imaging—Physiologic Assessment of Coronary Artery Lesion." Indian Journal of Cardiovascular Disease in Women WINCARS 5, no. 01 (2020): 65–75. http://dx.doi.org/10.1055/s-0040-1709960.

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AbstractThirty percent of angiographically significant coronary lesions may be functionally significant. Physiological assessment is essential to treat intermediate coronary lesions before taking the decision for percutaneous intervention. Even when coronary artery bypass is planned as treatment modality in triple-vessel coronary artery disease, the SYNTEX II trial has shown that functionally significant lesion treatment by bypass grafts improves the outcome of these patients. In this article, possible ways of estimating the physiologic assessment of coronary lesion, and the advantages and dis

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Nour, Daniel, Usaid Allahwala, Peter Hansen, et al. "Angiographic predictors of coronary hemodynamics." Future Cardiology 18, no. 4 (2022): 299–308. http://dx.doi.org/10.2217/fca-2020-0090.

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Aims: Assess the correlation between diameter stenosis, lesion length, location, diffuse coronary disease and with fractional flow reserve (FFR). Methods/Results: We performed quantitative coronary analysis analysis on 384 lesions with stable coronary artery disease undergoing FFR assessment. Vessels were 59.1% left anterior descending artery (LAD), 16.1% left circumflex artery and 14.8% right coronary artery. Median diameter stenosis was 58% ± 2.5 and median lesion length was 10 mm ± 7.36. 21% of vessels were diffusely diseased. Lesions were 33.6% proximal, 44% mid-vessel and 12% distal. Medi

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Shah, Syed Bilal, Fahad Raja Khan, Syed Muzammil Shah, Atif Kamal, Seema Nazir, and Nasir Farooq. "Comparative Outcomes of Left Anterior Descending, Left Circumflex, and Right Coronary Artery Lesions Treated with Primary Percutaneous Coronary Intervention: A Retrospective Study." Indus Journal of Bioscience Research 2, no. 2 (2024): 251–57. http://dx.doi.org/10.70749/ijbr.v2i02.163.

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Background: Coronary artery disease is one of the leading causes of morbidity and mortality worldwide. The management of this condition often involves primary percutaneous coronary intervention, which targets specific coronary arteries, including the left anterior descending (LAD), left circumflex (LCX), and right coronary artery (RCA). Differences in outcomes based on the location of these lesions necessitate a thorough understanding of lesion-specific risks to improve patient care and outcomes. Objective: The primary objective of this study was to compare the clinical outcomes of primary per

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Gao, Wuying, Zhenjie Chen, Yi Lu, Xiaowei Bai, Mushui Chen, and Ying Lu. "Analysis of ultrasound coronary parameters and blood red cell distribution width and N-terminal pro-brain natriuretic peptide concentrations following coronary lesions in children with Kawasaki disease." British Journal of Hospital Medicine 85, no. 8 (2024): 1–10. http://dx.doi.org/10.12968/hmed.2024.0162.

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Aims/Background Kawasaki disease is an acute inflammatory condition primarily affecting the young children. It can lead to coronary artery abnormalities, which can worsen the prognosis. Early diagnosis of coronary disease is crucial for the effective treatment and the prognosis evaluation. To explore the clinical significance of ultrasound examination characteristics, peripheral blood red cell distribution width, and changes in N-terminal pro-brain natriuretic peptide levels for the early detect coronary artery abnormality in children with Kawasaki disease. Methods The case-control study was c

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CHAO, Bao-ting, Xi-ming WANG, Le-bin WU, et al. "Diagnostic value of dual-source CT in Kawasaki disease." Chinese Medical Journal 123, no. 6 (2010): 670–74. http://dx.doi.org/10.3760/cma.j.issn.0366-6999.2010.06.006.

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Background Doppler color echocardiography is a common method for detecting coronary artery lesions in patients with Kawasaki disease (KD). However, the diagnostic accuracy for the whole coronary artery lesions is limited. The purpose of this study was to compare the diagnostic value of dual-source computed tomography (DSCT) and Doppler color echocardiography for the assessment of coronary artery lesions caused by KD. Methods Sixteen patients, 12 with typical KD and 4 with atypical KD, underwent DSCT and Doppler color echocardiography. The position and internal diameter of each coronary artery

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Skybchyk, V. A., and Y. P. Melen. "Lesion left main coronary artery and / or multivessel coronary artery disease." Medicine of Ukraine, no. 1(247) (February 22, 2021): 28–32. http://dx.doi.org/10.37987/1997-9894.2021.1(247).226318.

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The article describes the clinical and electrocardiograph|y features of the lesion left main coronary artery (LMCA). LMCA stenosis of more than 50% allows to classificated such patients as a high risk of sudden death, which occurs 3-4 times more often compared with coronary artery disease in other localizations. Another feature characteristic of this category of patients is the presence of multifocal atherosclerosis (MFA). In patients without carotid stenosis, LMCA lesions are detected in 5% of cases, while in patients with MFA (with lesions of the carotid arteries) - in 40%. Despite some clin

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Asghar, Naeem, Liaqat Ali, and Asadullah -. "CORONARY ARTERY DISEASE (CAD);." Professional Medical Journal 24, no. 01 (2017): 21–25. http://dx.doi.org/10.29309/tpmj/2017.24.01.483.

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Background: Coronary artery lesion severity is physiological assessed byfractional myocardial flow reserve (FFR). Angiographic assessment of intermediate severitylesions is problematic as inter-observer variability is significant. Hence one is not sure aboutthe hemodynamic or functional significance of these lesions. FFR is helpful in this situationby assessing functional or hemodynamic significance of these intermediate coronary lesions.An FFR value <0.80 identifies ischemia-causing coronary stenosis with an accuracy of >90%suggesting that intermediate coronary lesion is in fact functio

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Aljubawii, Ameer Ahmad Abd AL-Ameer, Ali Ibrahim Ali, and Hassan Ali Essa Al Mamuri. "Relationship between modifiable atherosclerotic cardiovascular risk factors and coronary artery bifurcation lesion." Medical Journal of Babylon 20, no. 4 (2023): 777–83. http://dx.doi.org/10.4103/mjbl.mjbl_481_23.

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Abstract Background: Modifiable atherosclerotic cardiovascular disease risk factors are hypertension, diabetes mellitus, dyslipidemia, cigarette smoking, and obesity; the term coronary artery bifurcation is used when a coronary artery divides into two hemodynamically important branches or when the main branch has a hemodynamic significant side branch, bifurcation lesion represent 20% or more of coronary artery stenoses undergoing angiography. Objectives: To evaluate the relationship of hypertension, diabetes, dyslipidemia, cigarette smoking, and obesity to coronary bifurcation disease. Materia

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Krylov, V. V. "Comparative characteristics of coronary artery damage in different degree of ischemic mitral regurgitation." Regional blood circulation and microcirculation 18, no. 4 (2019): 45–50. http://dx.doi.org/10.24884/1682-6655-2019-18-4-45-50.

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Introduction. Despite an active study of the problem of ischemic mitral regurgitation, studies of its connections with the degree and localization of coronary artery lesions are contradictory.Objective. Study the features of coronary artery lesions according to coronary angiography in patients with ischemic heart disease and ischemic mitral regurgitation and the connections between the severity of coronary artery lesions and the degree of ischemic mitral regurgitation.Material and methods. A retrospective analysis of the results of the examination of 86 patients with various forms of ischemic

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Zhang, Chun-ke, Lu Liu, Wen-jie Wu, et al. "Identifying Coronary Artery Lesions by Feature Analysis of Radial Pulse Wave: A Case-Control Study." BioMed Research International 2021 (December 30, 2021): 1–8. http://dx.doi.org/10.1155/2021/5047501.

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Background. Cardiovascular diseases have been always the most common cause of morbidity and mortality worldwide. Health monitoring of high-risk and suspected patients is essential. Currently, invasive coronary angiography is still the most direct and accurate method of determining the severity of coronary artery lesions, but it may not be the optimal clinical choice for suspected patients who had clinical symptoms of coronary heart disease (CHD) such as chest pain but no coronary artery lesion. Modern medical research indicates that radial pulse waves contain substantial pathophysiologic infor

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Mega, Almira, Hassan Harris, Pasha Ketaren Andre, Chairuddin Lubis Anggia, Ade Putra Lubis Hilfan, and Bob Haykal Teuku. "Relationship of QRS Fragmentation and Coronary Arterial Lesion Severity Assessed with Syntax Scores in Acute Coronary Syndrome Patients in Adam Malik Haji Hospital." International Journal of Innovative Science and Research Technology 7, no. 1 (2022): 220–26. https://doi.org/10.5281/zenodo.5894219.

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: Almost half of the causes of cardiovascular death are the result of Acute Myocardial Infarction (AMI). Acute coronary syndrome (ACS) consisting of unstable angina pectoris (APTS), non-ST elevation acute myocardial infarction (IMANEST) and ST elevation acute myocardial infarction (AMIEST) was the leading cause of death in adults and accounted for 16.7% of deaths from all groups. age. The SYNTAX score is a score system that is comprehensively formulated to describe the complexity of coronary artery lesions based on angiographic results and predict the final outcome of percutaneous coronary int

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Velarde-Acosta, Kevin, José Raúl Delgado Arana, José M. Medina-Maguiña, and Roberto Baltodano-Arellano. "Successful management of Ellis III coronary perforation and complex bifurcation lesion of the right coronary artery in a patient with high- risk coronary anatomy. A case report." Archivos Peruanos de Cardiología y Cirugía Cardiovascular 4, no. 3 (2023): 122–26. http://dx.doi.org/10.47487/apcyccv.v4i3.313.

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Complex coronary lesions represent challenging findings for percutaneous coronary intervention and potentially lead to complications during their approach. We present the case of a patient with decompensated heart failure of ischemic origin who presented multiple complex lesions on coronary angiography. The initial approach to the marginal artery was complicated by a severe coronary perforation that was satisfactorily resolved and in the second moment, a bifurcation lesion of the right coronary artery was successfully treated using the inverted Culotte technique.

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Lai, C., L. Zhao, J. Zhou, et al. "AB0498 CHARACTERISTICS AND OUTCOME OF CORONARY ARTERY LESIONS DUE TO POLYARTERITIS NODOSA: ANALYSIS OF A SINGLE CENTER COHORT IN CHINA." Annals of the Rheumatic Diseases 79, Suppl 1 (2020): 1547.2–1547. http://dx.doi.org/10.1136/annrheumdis-2020-eular.4343.

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Background:Polyarteritis nodosa (PAN) is a systemic necrotizing vasculitis that mainly affects medium-sized muscular arteries. The coronary artery could be affected. Some severe cases can lead to spontaneous coronary artery dissection (SCAD) and about 0.02% will die abruptly. Early diagnosis will improve prognosis, but relative studies are all case reports so far.Objectives:To investigate the clinical characteristics, risk factors and outcome of patients with polyarteritis nodosa (PAN) complicated with coronary artery lesions in China.Methods:Data of 158 patients with PAN who were admitted to

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Kalinin, Roman E., Igor’ A. Suchkov, Aleksandr V. Karpov, and Ivan N. Shanayev. "Anatomic Variants and Features of Atherosclerotic Lesion of Coronary Artery Bifurcations." Nauka molodykh (Eruditio juvenium) 12, no. 1 (2024): 25–34. https://doi.org/10.23888/hmj202412125-34.

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INTRODUCTION: Atherosclerotic lesion of coronary arteries is the ultimate cause of the development of the coronary heart disease. The situation becomes more complicated with the involvement of bifurcations of the coronary arteries, since their endovascular correction presents a problem which has not been completely solved until the present moment. AIM: To clarify the anatomic variants of coronary artery bifurcations and features of their lesion in atherosclerosis. MATERIALS AND METHODS: The study included 342 patients with an acute coronary syndrome, 85 of them had bifurcation stenoses of coro

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Naqvi, Syed Mohammad, Syed Yaseen Naqvi, Muhammad Anis Haider, et al. "Kokeshi phenomenon and coronary perforation with rotational atherectomy while treating heavily calcified coronary artery disease: A case report." Medicine 104, no. 17 (2025): e42006. https://doi.org/10.1097/md.0000000000042006.

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Rationale: Coronary artery disease remains a leading cause of morbidity, requiring complex revascularization strategies, especially in patients with heavily calcified lesions. Percutaneous coronary intervention (PCI) is a common treatment, but it carries risks such as coronary artery perforation and the rare Kokeshi phenomenon during rotational atherectomy (RA). This study aims to emphasize the challenges faced in treating heavily calcified coronary lesions, specifically focusing on the rare Kokeshi phenomenon and coronary artery perforation during RA. Patient concerns: We report the case of a

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Du, J., and L. Pan. "AB0600 ANALYSIS OF RISK FACTORS AND PROGNOSIS IN PATIENTS OF TAKAYASU’S ARTERITIS WITH CORONARY ARTERY LESIONS." Annals of the Rheumatic Diseases 81, Suppl 1 (2022): 1426. http://dx.doi.org/10.1136/annrheumdis-2022-eular.3821.

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BackgroundTakayasu’s arteritis（TA）can involve coronary artery lesions. The pathogenesis is complex and lacks the best treatment strategy.The coronary artery lesions were typical seen in the ostia of the left and right coronary arteries which were major risk factors for sudden death and ischemia heart failure[1-2].Coronary artery lesions is an important predictor of poor prognosis in TA patients.The incidences of coronary artery lesions were more common in type V TA patients [3-4].The prevalence of metabolic syndrome and its related characteristics (including dyslipidemia, diabetes and hyperins

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Iqbal, Shahid, Ahmad Kamran Khan, Syed Bakht Ruidar, Syed Sardar Rahim, Mirza Nauman Rahi, and Ahmed Ali Ishaq Khan. "To Determine the Frequency of Different Complex Coronary Lesions in Diabetic Patients." Pakistan Journal of Medical and Health Sciences 16, no. 3 (2022): 313–14. http://dx.doi.org/10.53350/pjmhs22163313.

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Background: Diabetic people have an excessive amount of coronary atherosclerosis. Diabetes mellitus is a strong predictor of mortality and MI in both men and women. It's unclear whether diabetics and non-diabetics have different rates of complicated coronary lesions such bifurcation and ostial lesions. Objective: To find out how often different types of complicated coronary lesions are in diabetic people. Methodology: 136 individuals were enrolled in this study. All patients had coronary angiography using the conventional femoral or radial artery technique. Angiographic data was obtained by tw

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Mathew, Dolly. "Closure of coronary arterial fistula by covered stent graft during multivessel percutaneous coronary intervention: a case report." International Surgery Journal 5, no. 6 (2018): 2361. http://dx.doi.org/10.18203/2349-2902.isj20182255.

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Coronary arterial fistulae are usually incidental during coronary angiography. We report a case of triple vessel disease treated by multivessel percutaneous coronary intervention using drug-eluting stents (DES) and associated coronary arterial fistula to pulmonary artery with covered stent graft. In this case the coronary fistula from right coronary artery (RCA) was opened during dilatation of the obstructive coronary lesion. RCA had significant coronary lesions in the proximal and distal coronary, mid left anterior descending coronary artery and left circumflex artery, which are revascularize

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Kok, Wouter E. M., Ron J. G. Peters, Martin H. Prins, et al. "Contribution of Age and Intimal Lesion Morphology to Coronary Artery Wall Mechanics in Coronary Artery Disease." Clinical Science 89, no. 3 (1995): 239–46. http://dx.doi.org/10.1042/cs0890239.

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1. Atherosclerotic changes of the coronary vascular wall include localized plaque formation and diffuse hardening, both of which influence tensile strength of the inner vascular wall. Insight into the relation between age, the atherosclerotic process and vessel wall elasticity may contribute to the prevention of secondary vascular wall damage. 2. To evaluate the determinants of coronary artery wall elasticity, we studied a group of 34 patients, aged 54.6 ± 10.1 years, who underwent balloon angioplasty for coronary artery disease. With the use of 30 MHz intravascular ultrasound, a total of 127

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Chen, Tao, Weihao Xu, Yulun Cai, Qi Wang, Jun Guo, and Yundai Chen. "Safety and Efficacy of Guidezilla Extension Catheter for the Percutaneous Treatment of Complex Coronary Lesions." Heart Surgery Forum 23, no. 2 (2020): E147—E150. http://dx.doi.org/10.1532/hsf.2709.

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Background: The GuidezillaTM support extension catheter is designed to provide extra back-up support and efficient device delivery during complex percutaneous coronary interventions (PCIs), such as in treatment of severe calcification, tortuous chronic total occlusions (CTOs), and coronary anomalies. The aim of this study was to describe our initial experience with the GuidezillaTM extension catheter in the treatment of complex coronary artery lesions. Methods: This study retrospectively analyzed data from 165 PCI cases that used the GuidezillaTM guide extension catheter between March 20

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Islam, AHM Waliul, Shahabuddin Talukder, Sham Munwar, AQM Reza, Tamzeed Ahmed, and Kazi Atikur Rahman. "Percutaneous Coronary Intervention of Bifurcation Lesion." Cardiovascular Journal 14, no. 2 (2022): 168–75. http://dx.doi.org/10.3329/cardio.v14i2.58782.

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Bifurcation lesion whether it is left main (LM) stem disease with left main to left anterior descending artery (LM-LAD) or left main to left circumflex (LM-LCX), LAD-Diagonal or LCX-Obtuse marginal or right coronary artery- posterior descending artery (RCA-PDA); are not uncommon lesion type that needs to be revascularized either by percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) to establish the coronary flow and relieved patient anginal symptoms. Even though, many of the literature maintained non-inferiority of bifurcation lesion PCI over CABG and is Class IIb

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Annam, Sharath Reddy, Anil Krishna Gundala, Nitin Naik, and Lokanath Seepana. "Sequential rotablation for calcified tandem right coronary artery lesions with guide extension assistance." Medicover Journal of Medicine 1, no. 4 (2024): 158–61. https://doi.org/10.4103/mjm.mjm_32_24.

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Calcific coronary artery disease presents a major challenge for percutaneous coronary intervention as it can be associated with stent delivery failure and suboptimal stent expansion. Currently, numerous therapeutic options are available for modifying calcific coronary plaques, and also coronary imaging to assess adequacy of plaque modification. Mechanical debulking with rotational atherectomy is the time trusted plaque modification strategies for heavily calcified and recalcitrant coronary lesions prior to stenting. We report a rare case with calcified tandem right coronary artery lesions in w

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Guimarães, Henrique, Giulliano Gardenghi, Debora Santana, et al. "Analysis of percutaneous coronary intervention outcomes in unprotected left main coronary artery lesions." Journal of Transcatheter Interventions 30 (March 10, 2022): 1–6. http://dx.doi.org/10.31160/jotci202230a20210033.

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Background: Significant lesions in the left main coronary artery are found in approximately 5% of patients undergoing coronary angiography, with most cases involving multiple vessels and affecting the distal bifurcation. A coronary artery bypass graft surgery is considered the preferred treatment for unprotected left main coronary artery lesions. However, with the advancement of techniques and the introduction of new drug-eluting stents, percutaneous coronary intervention has been considered a viable strategy, with favorable results. The objective of this study was to analyze the outcomes in p

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Reddy, Narapureddy, and Nemani Lalita. "Comparable Periprocedural Outcomes of Percutaneous Coronary Intervention in Male and Female Patients with Type C Lesions." Indian Journal of Cardiovascular Disease in Women WINCARS 02, no. 03 (2017): 021–24. http://dx.doi.org/10.1055/s-0037-1607271.

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Background Percutaneous coronary intervention (PCI) in type C lesions has low success and has high procedural risk. We aimed at studying the outcomes of PCI in patients with type C lesions. Material and Methods Total 180 patients with type C lesions who underwent PCI from January 2007 to December 2014 were taken into study and analyzed. Results Of 180 patients, 141(78.3%) were males and 39 (21.7%) were females. Mean hemoglobin concentration, mean serum triglycerides, and mean estimated glomerular filtration rate were significantly lower in females compared with males. Seventy-seven (42.8%) pat

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Dzhus, Marta, and Halyna Mostbauer. "Coronary artery lesions in Takayasu arteritis." Rheumatology 61, no. 6 (2024): 460–72. http://dx.doi.org/10.5114/reum/176483.

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IntroductionTakayasu arteritis (TAK) is a granulomatous inflammation of vessels of large diameter, mainly affecting the aorta and its proximal branches, which is more common in young women. The incidence of coronary artery disease in TAK is unknown and not sufficiently studied.Material and MethodsA literature review was performed for the period 2003 to 2023 using a search of the PubMed and Scopus scientific databases. We used the following key words to search the academic journal data-bases: “Takayasu arteritis”, “coronary angiography”, “myocardial revascularization”, “coronary artery disease”

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Xu, Haiyan, Songling Fu, Wei Wang, et al. "Predictive value of red blood cell distribution width for coronary artery lesions in patients with Kawasaki disease." Cardiology in the Young 26, no. 6 (2015): 1151–57. http://dx.doi.org/10.1017/s1047951115002140.

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AbstractRecent studies have shown that elevated red blood cell distribution width is associated with poor outcome in cardiovascular diseases. In order to assess the predictive value of red blood cell distribution width, before treatment with intravenous immunoglobulins, for coronary artery lesions in patient with Kawasaki disease, we compared 83 patients with coronary artery lesions and 339 patients without coronary artery lesions before treatment with intravenous immunoglobulin. Clinical, echocardiographic, and biochemical values were evaluated along with red blood cell distribution width. A

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Ayuhati, Siregar*1 Rahmad Isnanta2 &. Zainal Safri3. "COMPARISON OF RED BLOOD CELL DISTRIBUTION WIDTH BETWEEN SIMPLE LESION DAN MULTIPLE LESION OF CORONARY ARTERY IN ACUTE CORONARY SYNDROME PATIENTS." INTERNATIONAL JOURNAL OF RESEARCH SCIENCE & MANAGEMENT 6, no. 7 (2019): 17–21. https://doi.org/10.5281/zenodo.3342871.

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<strong>Introduction</strong>: Acute Coronary Syndrome (ACS) is a disease with the highest mortality. The main mechanism of coronary artery disease is atherosclerosis. Atherosclerosis is a multifactorial process that is influenced by various pathophysiological factors. One of these factors is inflammation. Recently, The red blood cell distribution width (RDW) has been investigated as an inflammatory marker in relation to cardiovascular disease. RDW is an easy, inexpensive and widely available examination in health facilities so that RDW can be used as a marker for assessing the severity of cor

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Razban, Mohammad Mehdi, Masoud Eslami, and Ataollah Bagherzadeh. "The Relationship between Serum Levels of Hs-CRP and Coronary Lesion Severity." Medicine and Pharmacy Reports 89, no. 3 (2016): 352–64. http://dx.doi.org/10.15386/cjmed-633.

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Background and aim. It is very important to know the risk factors of coronary artery disease and the role of inflammatory markers. One of these markers is hs-CRP that has been indicated to increase in patients with coronary artery atherosclerosis. The main objective of this study was to determine the relationship between serum levels of hs-CRP and coronary lesion severity.Methods. In the current study, we evaluated the role of hs-CRP in coronary artery disease and measured the relationship between serum hs-CRP levels and the severity of coronary lesions in 102 patients who referred to Imam Kho

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Ganaev, Kamil G., Renat S. Akchurin, Andrey A. Shiryaev, et al. "Atrial fibrillation after coronary artery bypass grafting: analysed impact of coronary artery calcification." Journal of Experimental and Clinical Surgery 18, no. 1 (2025): 19–26. https://doi.org/10.18499/2070-478x-2025-18-1-19-26.

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Relevance. Atrial fibrillation (AF) is a significant problem in the postoperative period of coronary artery bypass grafting. The genesis of arrhythmia is not clear despite numerous studies. Identifying patients at high risk of postoperative AF remains a difficult and urgent task. Aim. To evaluate the influence of coronary calcinosis and the corresponding surgical features of coronary artery bypass grafting on the occurrence of de novo atrial fibrillation in the postoperative period. Materials and methods. The study included 35 patients with diffuse multivessel coronary disease, without a histo

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Levchyshyna, O. V., Ye V. Aksonov, and D. V. Bondarets. "STENTING AS A METHOD OF CHOICE FOR TREATING LEFT MAIN CORONARY ARTERY LESIONS." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 24, no. 4 (2024): 306–8. https://doi.org/10.31718/2077-1096.24.4.306.

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The aim of this study is to justify the use of stenting as the method of choice for revascularization of left main coronary artery lesions. Materials and methods. A comprehensive analysis of scientific publications and randomized trials was conducted to evaluate the advantages and disadvantages of various stenting techniques for left main coronary artery lesions, to optimize treatment strategies for individual patients, to improve clinical outcomes, to reduce complications, and to enhance the quality of life for patients with left main coronary artery disease. Results. The proper selection of

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Shibui, Takashi, Takaaki Tsuchiyama, Shinichiro Masuda, and Sho Nagamine. "Excimer laser coronary atherectomy prior to paclitaxel-coated balloon angioplasty for de novo coronary artery lesions." Lasers in Medical Science 36, no. 1 (2020): 111–17. http://dx.doi.org/10.1007/s10103-020-03019-w.

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AbstractThis study aimed to evaluate the efficacy and safety of excimer laser coronary atherectomy (ELCA) prior to paclitaxel-coated balloon angioplasty for de novo coronary artery lesions. This retrospective observational study analyzed 118 eligible patients with de novo coronary artery disease whose only percutaneous coronary intervention was a drug-coated balloon angioplasty (i.e., no subsequent stent placement). Data related to our primary outcomes of interest—incidence of major adverse cardiovascular and cerebral events (MACCE), and incidence of procedural complications (bailout stenting

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Yurdam, Ferhat S. "Association between coronary artery lesion severity in coronary computed tomography angiography and hemoglobin A1c in nondiabetic patients with chronic coronary syndrome." Cardiovascular Surgery and Interventions 10, no. 1 (2023): 1–7. http://dx.doi.org/10.5606/e-cvsi.2023.1412.

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Objectives: In this study, we aimed to investigate whether there is a relationship between coronary artery lesion severity detected on coronary computed tomography angiography (CTA) and the hemoglobin A1c (HbA1c) value in nondiabetic patients with chronic coronary syndrome (CCS). Patients and methods: The retrospective observational study included 125 patients (64 males, 61 females; median age: 55 years; IQR, 46.5-63.0) who underwent coronary CTA with the diagnosis of CCS and applied between March 2020 and July 2022. Two groups were formed according to the severity of coronary artery lesion by

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Golub, Ilana S., Angela Misic, Lucia P. Schroeder, et al. "Calcific coronary lesions: management, challenges, and a comprehensive review." AIMS Medical Science 11, no. 3 (2024): 292–317. http://dx.doi.org/10.3934/medsci.2024021.

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<p>As the prevalence of coronary artery disease continues to increase worldwide, understanding the nuances of complex calcific coronary lesions becomes paramount. Coronary artery calcium (CAC) is a well-established, widely available, and highly specific marker of subclinical and advanced atherosclerosis. It remains a vital adjudicator of atherosclerotic cardiovascular disease (ASCVD) and facilitates the up- or down-stratifying of asymptomatic, intermediate risk patients. Notably, the high prevalence of CAC in coronary heart disease (CHD) patients makes the percutaneous treatment of heavi

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LÊ, VĂN THĂNG, MINH PHẠM LÊ, NGUYỄN TUẤN ANH NGUYỄN TUẤN ANH, ĐỨC TUÂN ĐỖ, NHẬT MINH PHẠM та MẠNH HÙNG PHẠM. "Đặc điểm tổn thương động mạch vành và thay đổi mức lọc cầu thận sau chụp hoặc can thiệp động mạch vành qua da ở bệnh nhân bệnh thận mạn". Tạp chí Tim Mạch Học Việt Nam, № 100 (14 листопада 2022): 60–66. http://dx.doi.org/10.58354/jvc.100.2022.11.

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Introduction: Coronary artery disease is the leading cause of death in patients with chronic kidney disease. Despite many advances in diagnosis and treatment, percutaneous coronary intervention in patients with chronic kidney disease remains challenging.Objectives: (1) Describe clinical, subclinical and coronary artery lesions in patients with chronic kidney disease requiring percutaneous coronary angiography at the Vietnam Heart Institute. (2) Evaluation the changes in clinical, laboratory and glomerular filtration rate after coronary angiography or intervention in thesse patients.Subjects an

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Juricic, Stefan, Milorad Tesic, Milan Dobric, and Sinisa Stojkovic. "Bifurcation lesions in the context of a PCI CTO - insight from Belgrade single center CTO registry." Vojnosanitetski pregled, no. 00 (2023): 13. http://dx.doi.org/10.2298/vsp230116013j.

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Background/Aim. Chronic total coronary artery occlusions (CTOs) are still one of the most complex procedures in the treatment of coronary arteries. If there is a bifurcation lesion within the CTO, it is certainly one of the biggest challenges for interventional cardiologists. Methods. We present a retrospective analysis of patients from our center who underwent percutaneous coronary intervention (PCI) with a bifurcation lesion within the CTO and a side branch with a diameter of 2 mm or more, in the period from January 2017 to December 2020. Results. Out of a total of 216 patients in the four-y

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Zengin, Ismet, and Nail Kahraman. "Navigating the Unforeseen: Surgical Intervention for Symptomatic Coronary Aneurysms in Acute Coronary Syndrome." Advances in Cardiac Research 1, no. 1 (2023): 45–48. https://doi.org/10.5281/zenodo.8031754.

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<strong>Abstract</strong> Coronary artery aneurysms are defined as luminal enlargements greater than 50% relative to the adjacent reference vessel segment. Most cases can be managed conservatively with medical treatment. Some of them may be symptomatic or even present in the form of the acute coronary syndrome. In such cases, surgical or interventional treatment options should be considered. In addition, the severity of the lesion on coronary angiography may be underestimated at the time of diagnosis. In our case, a coronary aneurysm presenting as an acute coronary syndrome (ACS), aneurysm in

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Ueshima, Kenji. "Various issues related to coronary artery lesions and cerebral artery lesions." Nosotchu 27, no. 4 (2005): 525–29. http://dx.doi.org/10.3995/jstroke.27.525.

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Van, Hoang. "Study on the characteristics of coronary calcification by Intravascular Ultrasound (IVUS)." Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam 35 (January 6, 2022): 188–95. http://dx.doi.org/10.47972/vjcts.v35i.699.

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Background: Percutaneous coronary angiography is considered the "gold standard" for the diagnosis of coronary artery disease and provides the necessary anatomical information to provide appropriate treatment. The limitation of coronary angiography is the accurate assessment of calcified coronary lesions. Intravascular ultrasonography has many advantages in the assessment of calcified coronary lesions. Methods: The descriptive clinical study. Evaluation of calcified coronary artery lesions by intravascular ultrasound Results: From January 2019 to December 2019, at the Hanoi Heart In

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Levchyshyna, O. V., E. V. Aksyonov, and S. V. Salo. "Evolution of Treatment Tactics for Patients with Trunk Lesions of Coronary Arteries." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 7, no. 6 (2022): 23–30. http://dx.doi.org/10.26693/jmbs07.06.023.

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Damage to the trunk of the left coronary artery is the most dangerous manifestation of coronary atherosclerosis. Mortality with this type of lesions occurs by 3–4 times more often compared to lesions of other segments of coronary arteries. On the basis of previous clinical studies demonstrating advantages of coronary artery bypass grafting over drug therapy in terms of patient survival, coronary artery bypass grafting has long been considered the gold standard for the treatment of these lesions. The purpose of the work was to study the literature data on the evolution and peculiarities of the

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Alekyan, B. G., N. G. Karapetyan, D. O. Kishmiryan, and A. Sh Revishvili. "State-of-the-art development of anatomical and clinical-anatomical scores for choosing a myocardial revascularization strategy based on the SYNTAX study." Complex Issues of Cardiovascular Diseases 11, no. 2 (2022): 116–24. http://dx.doi.org/10.17802/2306-1278-2022-11-2-116-1242-116-124.

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Treatment of patients with multivessel coronary artery disease is percutaneous coronary intervention or coronary artery bypass grafting according to current European and American guidelines. Depending on the anatomical complexity of the coronary artery lesion, one of the methods is chosen, with usage of a risk scale based on the SYNTAX study. However, Syntax score is actively discussed as not an optimal risk scale, because of unmatched with modern clinical possibilities This article presents current, different opinions on anatomical and clino-anatomical risk scores, which allows to choose the

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Alekyan, B. G., N. G. Karapetyan, D. O. Kishmiryan, and A. Sh Revishvili. "State-of-the-art development of anatomical and clinical-anatomical scores for choosing a myocardial revascularization strategy based on the SYNTAX study." Complex Issues of Cardiovascular Diseases 11, no. 2 (2022): 116–24. http://dx.doi.org/10.17802/2306-1278-2022-11-2-116-124.

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Treatment of patients with multivessel coronary artery disease is percutaneous coronary intervention or coronary artery bypass grafting according to current European and American guidelines. Depending on the anatomical complexity of the coronary artery lesion, one of the methods is chosen, with usage of a risk scale based on the SYNTAX study. However, Syntax score is actively discussed as not an optimal risk scale, because of unmatched with modern clinical possibilities This article presents current, different opinions on anatomical and clino-anatomical risk scores, which allows to choose the

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Grib, Andrei, Marcel Abras, Artiom Surev, and Livi Grib. "Fractional Flow Reserve Implications for Clinical Decision Making in Coronary Artery Disease." Life 14, no. 10 (2024): 1326. http://dx.doi.org/10.3390/life14101326.

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Fractional flow reserve (FFR) is regarded as the gold standard for assessing the functional significance of coronary artery lesions. However, its utilization in clinical practice remains limited. This study aims to determine whether FFR results can influence treatment decisions for coronary artery disease compared to visual assessments of angiographic images. We conducted a retrospective study involving 63 patients diagnosed with either chronic coronary syndrome (n = 39, 61.9%) or acute coronary syndrome (n = 24, 38.1%) who underwent an FFR assessment. Three experienced interventional cardiolo

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Kelemen, Piroska, Beáta Katalin Kolbert, Mónika Szabó, Hanga Kelemen, Achim Radu, and Alwina Ana Stan. "Plurivascular Lesions in Patients with Peripheral Arterial Disease." Journal of Interdisciplinary Medicine 1, no. 2 (2016): 173–79. http://dx.doi.org/10.1515/jim-2016-0040.

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AbstractIntroduction:Occlusive arterial disease, regardless of etiology, is a progressive chronic disease with multiple vessel involvement. The importance of obstructive arterial disease is that it leads to an increased mortality and morbidity of other cardiovascular disorders. Therefore, the presence of a lesion on a certain artery should lead to the identification of other lesions on the carotid and coronary arteries. The aim of the study was to assess the frequency and severity of lesions in peripheral arterial disease of different etiologies, and also to study its association with multives

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Anh, Binh Ho Quoc Bao Tran* Van Duy Le Anh Khoa Phan and Van Khanh Vo. "Successful Management of Cardiac Electrical Storm in Wellens Syndrome: A Case Report." International Clinical and Medical Case Reports Journal 3, no. 3 (2024): 1–9. https://doi.org/10.5281/zenodo.10853430.

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Wellens syndrome patients are at risk for acute myocardial infarction with a large acute anterior wall because of the lesion in left anterior descending coronary artery and percutaneous coronary intervention is the definitive treatment to relieve the occlusion in left anterior descending coronary artery. Electrical storm is defined as the three or more episodes of ventricular tachycardia or ventricular fibrillation in any interval of 24 hours. The appearance of cardiac electrical storm is a critical situation with poor outcome. We would like to present a case of Wellens syndrome, with the sign

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Dubey, Laxman, Sogunuru Guruprasad, and Gangapatnam Subramanyam. "Relationship between type 2 diabetes mellitus and coronary artery lesion characteristics: a single center study." Nepalese Heart Journal 10, no. 1 (2014): 20–22. http://dx.doi.org/10.3126/njh.v10i1.9742.

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Background: Coronary atherosclerotic burden is excessive in diabetic patients. The aim of present study was to assess the relationship between diabetes mellitus and plaque characteristics in patients with coronary artery disease.Methods: The coronary angiograms of 223 patients with significant obstructive lesions during April 2011 to May 2013 in College of Medical Sciences and Teaching Hospital were analyzed. The coronary lesions of patients with and without type 2 diabetes were compared. Results: 81 diabetic and 142 non-diabetic patients had significant coronary artery disease. Diabetic patie

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Rus, Marius, Georgiana Carmen Filimon, and Adriana Ioana Ardelean. "T and Small Protrusion (TAP) Technique in Bifurcations: Coronary Artery Disease in Acute Myocardial Infarction Patients after COVID-19 Pneumonia." Biomedicines 11, no. 8 (2023): 2255. http://dx.doi.org/10.3390/biomedicines11082255.

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Ischemic coronary artery disease in all its forms remains the main cause of death worldwide. Coronary artery bifurcation lesions are a challenge because of their complexity and possible complications. The goal of treating bifurcation lesions is the optimal revascularization of the main vessel without compromising the side branch. Although the study of bifurcation stenting aims to keep the side branch viable, the outcomes regarding major acute cardiovascular events and survivability are related to the optimal treatment of the main vessel. There are many trials that have tried to evaluate the be

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Abdullaeva, S. Ya, A. G. Nikishin, M. M. Pirnazarov, et al. "ANEMIA OF CHRONIC DISEASE AS A RISK FACTOR IN PATIENTS WITH CORONARY ARTERY DISEASE AND LESION OF THE LEFT MAIN CORONARY ARTERY." Eurasian heart journal, no. 2 (June 30, 2017): 14–19. http://dx.doi.org/10.38109/2225-1685-2017-2-14-19.

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Aim: The authors assess anemia as a predictor of poor outcome in patients with lesions of the left main coronary artery.Material and methods. The study included 112 patients of both sexes with a lesions of the left main coronary artery, in combination with the defeat another one coronary artery, according coronary angiography, were hospitalized in RSCC in the 2015-2016 years.Result. The authors found that in most cases, anemia in patients with coronary heart disease is not of iron and therefore iron administration is useless. In addition, anemia is an independent predictor of adverse outcomes

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Agrawal, Hitesh, and Athar M. Qureshi. "Cardiac Catheterization in Assessment and Treatment of Kawasaki Disease in Children and Adolescents." Children 6, no. 2 (2019): 32. http://dx.doi.org/10.3390/children6020032.

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Cardiac catheterization has become a promising tool to assess and treat coronary artery lesions in patients with Kawasaki disease. Significant coronary artery lesions can now be treated via transcatheter route even in small children. Further development and miniaturization of this technology will help to promote widespread use to the benefit of small children suffering from coronary artery disease. The role of diagnostic and interventional coronary artery procedures in children and adolescents are discussed in this article.

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Matsumoto, Mitsunari, Yusuke Tamanaha, Yoshimasa Tsurumaki, and Tomohiro Nakamura. "GuideLiner Catheter Use for Percutaneous Intervention Involving Anomalous Origin of a Single Coronary Trunk Arising from the Ascending Aorta." Case Reports in Cardiology 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/8790347.

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Cases in which an anomalous single coronary trunk arises from the ascending aorta are extremely rare. In percutaneous coronary intervention for the lesion of a coronary artery anomaly, several problems may occur, including selection of a guide catheter, insufficient backup force, and difficulties of stent delivery. The GuideLiner catheter, which is a coaxial guide extension having the advantage of rapid exchange, facilitates coronary intervention for complex lesions. We report a case of angina having a lesion in the left anterior descending artery of a single coronary trunk arising from the as

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Grujić, Milan, Stefan Živković, and Aleksandar Davidović. "Rotary atherectomy: Method of preparation of heavily calcified coronary artery lesions." Timocki medicinski glasnik 47, no. 4 (2022): 148–52. http://dx.doi.org/10.5937/tmg2204148g.

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Calcified lesions of coronary arteries still represent a major challenge in interventional cardiology. The sign is advanced atherosclerosis, associated with multivessel disease and the presence of complex lesions, including long lesions, chronic total occlusions, and bifurcations. Today, there are several strategies for modifying calcified lesions before percutaneous coronary intervention. They can be divided into strategies without atherectomy and strategies with atherectomy. Non-atherectomy strategies include modification balloons and intravascular lithotripsy. Atherectomy strategies are aim

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