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Onea HL, Olinic M, Lazar FL, Homorodean C, Ober MC, Spinu M, Achim A, Tataru DA, Olinic DM. A Review Paper on Optical Coherence Tomography Evaluation of Coronary Calcification Pattern: Is It Relevant Today? J Cardiovasc Dev Dis 2024; 11:231. [PMID: 39195139 DOI: 10.3390/jcdd11080231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2024] [Revised: 07/22/2024] [Accepted: 07/23/2024] [Indexed: 08/29/2024] Open
Abstract
The process of coronary calcification represents one of the numerous pathophysiological mechanisms involved in the atherosclerosis continuum. Optical coherence tomography (OCT) represents an ideal imaging modality to assess plaque components, especially calcium. Different calcification patterns have been contemporarily described in both early stages and advanced atherosclerosis. Microcalcifications and spotty calcifications correlate positively with macrophage burden and inflammatory markers and are more frequently found in the superficial layers of ruptured plaques in acute coronary syndrome patients. More compact, extensive calcification may reflect a later stage of the disease and was traditionally associated with plaque stability. Nevertheless, a small number of culprit coronary lesions demonstrates the presence of dense calcified plaques. The purpose of the current paper is to review the most recent OCT data on coronary calcification and the interrelation between calcification pattern and plaque vulnerability. How different calcified plaques influence treatment strategies and associated prognostic implications is of great interest.
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Affiliation(s)
- Horea-Laurentiu Onea
- Department of Internal Medicine, Medical Clinic Number 1, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
- County Clinical Emergency Hospital Sibiu, 550024 Sibiu, Romania
| | - Maria Olinic
- Department of Internal Medicine, Medical Clinic Number 1, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
- Second Cardiology Department, County Clinical Emergency Hospital Cluj-Napoca, 400347 Cluj-Napoca, Romania
| | - Florin-Leontin Lazar
- Department of Internal Medicine, Medical Clinic Number 1, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
- County Clinical Emergency Hospital Sibiu, 550024 Sibiu, Romania
| | - Calin Homorodean
- Department of Internal Medicine, Medical Clinic Number 1, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
- Second Cardiology Department, County Clinical Emergency Hospital Cluj-Napoca, 400347 Cluj-Napoca, Romania
| | - Mihai Claudiu Ober
- Second Cardiology Department, County Clinical Emergency Hospital Cluj-Napoca, 400347 Cluj-Napoca, Romania
| | - Mihail Spinu
- Department of Internal Medicine, Medical Clinic Number 1, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
- Second Cardiology Department, County Clinical Emergency Hospital Cluj-Napoca, 400347 Cluj-Napoca, Romania
| | - Alexandru Achim
- Niculae Stancioiu Heart Institute Cluj-Napoca, 400001 Cluj-Napoca, Romania
| | - Dan Alexandru Tataru
- Department of Internal Medicine, Medical Clinic Number 1, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
- Second Cardiology Department, County Clinical Emergency Hospital Cluj-Napoca, 400347 Cluj-Napoca, Romania
| | - Dan Mircea Olinic
- Department of Internal Medicine, Medical Clinic Number 1, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
- Second Cardiology Department, County Clinical Emergency Hospital Cluj-Napoca, 400347 Cluj-Napoca, Romania
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Sakakura K, Ito Y, Shibata Y, Okamura A, Kashima Y, Nakamura S, Hamazaki Y, Ako J, Yokoi H, Kobayashi Y, Ikari Y. Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics: update 2023. Cardiovasc Interv Ther 2023; 38:141-162. [PMID: 36642762 PMCID: PMC10020250 DOI: 10.1007/s12928-022-00906-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 12/21/2022] [Indexed: 01/17/2023]
Abstract
The Task Force on Rotational Atherectomy of the Japanese Association of Cardiovascular Intervention and Therapeutics (CVIT) proposed the expert consensus document to summarize the techniques and evidences regarding rotational atherectomy (RA) in 2020. Because the revascularization strategy to severely calcified lesions is the hottest topic in contemporary percutaneous coronary intervention (PCI), many evidences related to RA have been published since 2020. Latest advancements have been incorporated in this updated expert consensus document.
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Affiliation(s)
- Kenichi Sakakura
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya, Saitama, 330-8503, Japan.
| | - Yoshiaki Ito
- Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan
| | - Yoshisato Shibata
- Department of Cardiology, Miyazaki Medical Association Hospital, Miyazaki, Japan
| | - Atsunori Okamura
- Division of Cardiology, Sakurabashi Watanabe Hospital, Osaka, Japan
| | - Yoshifumi Kashima
- Division of Interventional Cardiology, Sapporo Cardio Vascular Clinic, Sapporo Heart Center, Sapporo, Japan
| | | | - Yuji Hamazaki
- Division of Cardiology, Ootakanomori Hospital, Kashiwa, Japan
| | - Junya Ako
- Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan
| | - Hiroyoshi Yokoi
- Department of Cardiology, Fukuoka Sanno Hospital, Fukuoka, Japan
| | - Yoshio Kobayashi
- Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
| | - Yuji Ikari
- Department of Cardiology, Tokai University School of Medicine, Isehara, Japan
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Kitabata H. Vascular response following drug-eluting stent implantation in calcified coronary lesions: 2 major clinical questions emerged. CARDIOVASCULAR REVASCULARIZATION MEDICINE 2022; 41:61-62. [PMID: 35624013 DOI: 10.1016/j.carrev.2022.05.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Accepted: 05/16/2022] [Indexed: 11/03/2022]
Affiliation(s)
- Hironori Kitabata
- Department of Cardiovascular Medicine, Wakayama Medical University, 811 Kimiidera, Wakayama 641-8509, Japan.
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