Management of Calcified Coronary Lesions Requiring Intervention

Authoring Organization

Publication Month/Year

January 31, 2024

Last Updated Month/Year

February 2, 2024

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Document Type


Country of Publication


Document Objectives

The prevalence of calcification in obstructive coronary artery disease is on the rise. Percutaneous coronary intervention of these calcified lesions is associated with increased short-term and long-term risks. To optimize percutaneous coronary intervention results, there is an expanding array of treatment modalities geared toward calcium modification prior to stent implantation. The Society for Cardiovascular Angiography and Interventions, herein, puts forth an expert consensus document regarding methods to identify types of calcified coronary lesions, a central algorithm to help guide use of the various calcium modification strategies, tips for when using each treatment modality, and a look at future studies and trials for treating this challenging lesion subset.

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings

Hospital, Outpatient, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant


Treatment, Management

Diseases/Conditions (MeSH)

D062645 - Percutaneous Coronary Intervention, D002118 - Calcium


calcium, percutaneous coronary intervention (PCI), coronary artery disease, PCI, Percutaneous Coronary Intervention, coronary lesions

Source Citation

Robert F. Riley, Mitul P. Patel, J. Dawn Abbott, Sripal Bangalore, Emanouil S. Brilakis, Kevin J. Croce, Darshan Doshi, Prashant Kaul, Kathleen E. Kearney, Jimmy L. Kerrigan, Margaret McEntegart, Akiko Maehara, Jennifer A. Rymer, Nadia R. Sutton, Binita Shah, SCAI Expert Consensus Statement on the Management of Calcified Coronary Lesions, Journal of the Society for Cardiovascular Angiography & Interventions, 2024, 101259, ISSN 2772-9303, https://doi.org/10.1016/j.jscai.2023.101259

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