ReviewCardiovascular intervention and therapeutics2025
Device indication for calcified coronary lesions based on coronary imaging findings.
Review in Cardiovascular intervention and therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Intravascular ultrasound-derived calcium score to predict stent underexpansion in moderately to severely calcified lesions.Cardiovascular intervention and therapeutics · 2026Article
- Longitudinal Wire Bias Pattern on Intravascular Ultrasound as an Independent Predictor of Coronary Artery Injury During Orbital Atherectomy for Calcified Nodules: A Single-Center Retrospective Study.Circulation reports · 2026Article
- IVUS-Guided Orbital Atherectomy and Intravascular Lithotripsy for Severely Calcified Coronary Lesions.JACC. Case reports · 2026Article
- Risk Stratification in Cardiovascular Medicine for Prognostic Assessment and Therapeutic Decision-Making: From Atrial Fibrillation to the Broader Disease Spectrum.Journal of arrhythmia · 2026Review
- Article
- Beyond Angiography: Cardiac CT for Planning Complex PCI in Calcified Coronary Lesions.Tomography (Ann Arbor, Mich.) · 2026Review
- Consensus document on the role of cardiac computed tomography for pre-procedural planning in minimally invasive percutaneous coronary intervention from the Japanese association of cardiovascular intervention and therapeutics.Cardiovascular intervention and therapeutics · 2026Review
- Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics: update 2026.Cardiovascular intervention and therapeutics · 2026Review
- Transcatheter Aortic Valve Replacement in Patients With Aortic Stenosis and Cardiogenic Shock.Circulation reports · 2026Article
- Pragmatic implementation of intravascular lithotripsy in Japan based on the guidelines for proper use.Cardiovascular intervention and therapeutics · 2026Review
- Increasing arterial compliance by laser modification of fibro-calcific plaques.Frontiers in cardiovascular medicine · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Performing percutaneous coronary intervention (PCI) for heavily calcified coronary lesions remains a significant clinical challenge. In 2023, following the availability of intravascular lithotripsy (IVL), a consensus document was published outlining imaging-guided device selection strategies for the treatment of calcified lesions. Since the publication of that document, the DUAL-PREP study has demonstrated the safety of combining rotational atherectomy (rotablator) with IVL, a strategy previously contraindicated in the original consensus. As a result, a revision of the consensus document became necessary. In the updated consensus, the fundamental principle of imaging-guided treatment planning is retained. However, a key modification is the acknowledgment that IVL may now be considered in cases where post-atherectomy imaging reveals persistent heavy calcification and further atherectomy is deemed either ineffective or potentially harmful to the patient.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.