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Treatment of Difficult, Calcified Lesions: Plaque Modification Strategies. Semin Intervent Radiol 2023 Apr;40(2):136-143

Date

06/19/2023

Pubmed ID

37333746

Pubmed Central ID

PMC10275677

DOI

10.1055/s-0043-1768678

Scopus ID

2-s2.0-85163586295 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

Endovascular management of peripheral arterial disease is continually evolving. Most changes focus on addressing the challenges that hinder optimal patient outcomes; one of the most significant is how to best treat calcified lesions. Hardened plaque results in a variety of technical issues including impaired device delivery, decreased luminal revascularization, poor stent expansion, heightened risk of in-stent stenosis or thrombosis, and increased procedural time and cost. For this reason, plaque modification devices have been developed to mitigate this issue. This paper will describe these strategies and provide the reader with an overview of devices that can be used to treat chronically hardened lesions.

Author List

Haddad M, Scheidt MJ

Authors

Mustafa Haddad MD Assistant Professor in the Radiology department at Medical College of Wisconsin
Matthew J. Scheidt MD, FSIR Associate Professor in the Radiology department at Medical College of Wisconsin