DOI QR코드

DOI QR Code

Contemporary Interventional Approach to Calcified Coronary Artery Disease

  • Jonathan Gabriel Sung (Department of Medicine and Geriatrics, Tuen Mun Hospital) ;
  • Sidney TH Lo (Department of Cardiology, Liverpool Hospital) ;
  • Ho Lam (Department of Medicine and Geriatrics, Tuen Mun Hospital)
  • 투고 : 2022.11.13
  • 심사 : 2022.11.22
  • 발행 : 2023.02.01

초록

Calcific coronary artery disease is an increasingly prevalent entity in the catheterization laboratory which has implications for stenting and expected outcomes. With new interventional techniques and equipment, strategies to favorably modify coronary calcium prior to stenting continue to evolve. This paper sought to review the latest advances in the management of severe coronary artery calcification in the catheterization laboratory and discuss contemporary percutaneous interventional approaches.

키워드

참고문헌

  1. Genereux P, Madhavan MV, Mintz GS, et al. Ischemic outcomes after coronary intervention of calcified vessels in acute coronary syndromes. Pooled analysis from the HORIZONS-AMI (Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction) and ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) trials. J Am Coll Cardiol 2014;63:1845-54.
  2. Bourantas CV, Zhang YJ, Garg S, et al. Prognostic implications of coronary calcification in patients with obstructive coronary artery disease treated by percutaneous coronary intervention: a patient-level pooled analysis of 7 contemporary stent trials. Heart 2014;100:1158-64.
  3. Kato M, Dote K, Sasaki S, et al. Presentations of acute coronary syndrome related to coronary lesion morphologies as assessed by intravascular ultrasound and optical coherence tomography. Int J Cardiol 2013;165:506-11.
  4. Otsuka F, Sakakura K, Yahagi K, Joner M, Virmani R. Has our understanding of calcification in human coronary atherosclerosis progressed? Arterioscler Thromb Vasc Biol 2014;34:724-36.
  5. Bild DE, Detrano R, Peterson D, et al. Ethnic differences in coronary calcification: the Multi-Ethnic Study of Atherosclerosis (MESA). Circulation 2005;111:1313-20.
  6. Abedin M, Tintut Y, Demer LL. Vascular calcification: mechanisms and clinical ramifications. Arterioscler Thromb Vasc Biol 2004;24:1161-70.
  7. Kim JS, Hwang HS. Vascular calcification in chronic kidney disease: distinct features of pathogenesis and clinical implication. Korean Circ J 2021;51:961-82.
  8. Criqui MH, Denenberg JO, Ix JH, et al. Calcium density of coronary artery plaque and risk of incident cardiovascular events. JAMA 2014;311:271-8.
  9. Vliegenthart R, Oudkerk M, Hofman A, et al. Coronary calcification improves cardiovascular risk prediction in the elderly. Circulation 2005;112:572-7.
  10. Greenland P, LaBree L, Azen SP, Doherty TM, Detrano RC. Coronary artery calcium score combined with Framingham score for risk prediction in asymptomatic individuals. JAMA 2004;291:210-5.
  11. Raggi P. Prognostic implications of absolute and relative calcium scores. Herz 2001;26:252-9.
  12. Blankstein R, Budoff MJ, Shaw LJ, et al. Predictors of coronary heart disease events among asymptomatic persons with low low-density lipoprotein cholesterol MESA (Multi-Ethnic Study of Atherosclerosis). J Am Coll Cardiol 2011;58:364-74.
  13. Sharma SK, Bolduan RW, Patel MR, et al. Impact of calcification on percutaneous coronary intervention: MACE-trial 1-year results. Catheter Cardiovasc Interv 2019;94:187-94.
  14. Beohar N, Kaltenbach LA, Wojdyla D, et al. Trends in usage and clinical outcomes of coronary atherectomy: a report from the National Cardiovascular Data Registry CathPCI Registry. Circ Cardiovasc Interv 2020;13:e008239.
  15. Popma J, Bashore T. Qualitative and quantitative angiography. In: Topol E, editor. Interventional Cardiology. Philadelphia (PA): WB Saunders; 1993. p.1052-68.
  16. The GUIDE Trial Investigators. Initial report of the 'GUIDE' trial for intravascular ultrasound imaging in coronary interventions. J Am Coll Cardiol 1992;19:223A.
  17. Friedrich GJ, Moes NY, Muhlberger VA, et al. Detection of intralesional calcium by intracoronary ultrasound depends on the histologic pattern. Am Heart J 1994;128:435-41.
  18. Mintz GS, Popma JJ, Pichard AD, et al. Patterns of calcification in coronary artery disease. A statistical analysis of intravascular ultrasound and coronary angiography in 1155 lesions. Circulation 1995;91:1959-65.
  19. Hoffmann R, Mintz GS, Popma JJ, et al. Treatment of calcified coronary lesions with Palmaz-Schatz stents. An intravascular ultrasound study. Eur Heart J 1998;19:1224-31.
  20. Yonetsu T, Jang IK. Advances in intravascular imaging: new insights into the vulnerable plaque from imaging studies. Korean Circ J 2018;48:1-15.
  21. Mehanna E, Bezerra HG, Prabhu D, et al. Volumetric characterization of human coronary calcification by frequency-domain optical coherence tomography. Circ J 2013;77:2334-40.
  22. Krishnamoorthy P, Vengrenyuk Y, Ueda H, et al. Three-dimensional volumetric assessment of coronary artery calcification in patients with stable coronary artery disease by OCT. EuroIntervention 2017;13:312-9.
  23. Fujino A, Mintz GS, Matsumura M, et al. A new optical coherence tomography-based calcium scoring system to predict stent underexpansion. EuroIntervention 2018;13:e2182-9.
  24. Zhang M, Matsumura M, Usui E, et al. Intravascular ultrasound-derived calcium score to predict stent expansion in severely calcified lesions. Circ Cardiovasc Interv 2021;14:e010296.
  25. Fourrier JL, Bertrand ME, Auth DC, Lablanche JM, Gommeaux A, Brunetaud JM. Percutaneous coronary rotational angioplasty in humans: preliminary report. J Am Coll Cardiol 1989;14:1278-82.
  26. Abdel-Wahab M, Richardt G, Joachim Buttner H, et al. High-speed rotational atherectomy before paclitaxel-eluting stent implantation in complex calcified coronary lesions: the randomized ROTAXUS (Rotational Atherectomy Prior to Taxus Stent Treatment for Complex Native Coronary Artery Disease) trial. JACC Cardiovasc Interv 2013;6:10-9.
  27. de Waha S, Allali A, Buttner HJ, et al. Rotational atherectomy before paclitaxel-eluting stent implantation in complex calcified coronary lesions: two-year clinical outcome of the randomized ROTAXUS trial. Catheter Cardiovasc Interv 2016;87:691-700.
  28. Abdel-Wahab M, Toelg R, Byrne RA, et al. High-speed rotational atherectomy versus modified balloons prior to drug-eluting stent implantation in severely calcified coronary lesions. Circ Cardiovasc Interv 2018;11:e007415.
  29. Rheude T, Toelg R, Byrne RA, et al. Outcomes of rotational atherectomy versus modified balloon angioplasty in severely calcified coronary lesions based on target lesion location: a post hoc analysis of the PREPARE-CALC randomised trial. EuroIntervention 2020;16:e322-4.
  30. Allali A, Abdel-Wahab M, Traboulsi H, et al. Impact of lesion preparation technique on side branch compromise in calcified coronary bifurcations: a subgroup analysis of the PREPARE-CALC trial. J Interv Cardiol 2020;2020:9740938.
  31. Sakakura K, Taniguchi Y, Matsumoto M, Wada H, Momomura S, Fujita H. How should we perform rotational atherectomy to an angulated calcified lesion? Int Heart J 2016;57:376-9.
  32. Sakakura K, Taniguchi Y, Yamamoto K, Wada H, Momomura SI, Fujita H. Halfway rotational atherectomy for calcified lesions: Comparison with conventional rotational atherectomy in a propensity-score matched analysis. PLoS One 2019;14:e0219289.
  33. Parikh K, Chandra P, Choksi N, Khanna P, Chambers J. Safety and feasibility of orbital atherectomy for the treatment of calcified coronary lesions: the ORBIT I trial. Catheter Cardiovasc Interv 2013;81:1134-9.
  34. Bhatt P, Parikh P, Patel A, et al. Long-term safety and performance of the orbital atherectomy system for treating calcified coronary artery lesions: 5-year follow-up in the ORBIT I trial. Cardiovasc Revasc Med 2015;16:213-6.
  35. Chambers JW, Feldman RL, Himmelstein SI, et al. Pivotal trial to evaluate the safety and efficacy of the orbital atherectomy system in treating de novo, severely calcified coronary lesions (ORBIT II). JACC Cardiovasc Interv 2014;7:510-8.
  36. Lee MS, Shlofmitz E, Shlofmitz R, Sahni S, Martinsen B, Chambers J. Outcomes after orbital atherectomy of severely calcified left main lesions: analysis of the ORBIT II study. J Invasive Cardiol 2016;28:364-9.
  37. Lee M, Genereux P, Shlofmitz R, et al. Orbital atherectomy for treating de novo, severely calcified coronary lesions: 3-year results of the pivotal ORBIT II trial. Cardiovasc Revasc Med 2017;18:261-4.
  38. Lee MS, Shlofmitz RA, Shlofmitz E, et al. Procedural and long-term ischemic outcomes of tight subtotal occlusions treated with orbital atherectomy: an ORBIT II subanalysis. Cardiovasc Revasc Med 2019;20:563-8.
  39. Kumar G, Shin EY, Sachdeva R, et al. Orbital atherectomy for the treatment of long (≥25-40 mm) severely calcified coronary lesions: ORBIT II sub-analysis. Cardiovasc Revasc Med 2020;21:164-70.
  40. Genereux P, Kirtane AJ, Kandzari DE, et al. Randomized evaluation of vessel preparation with orbital atherectomy prior to drug-eluting stent implantation in severely calcified coronary artery lesions: design and rationale of the ECLIPSE trial. Am Heart J 2022;249:1-11.
  41. Litvack F, Grundfest W, Eigler N, et al. Percutaneous excimer laser coronary angioplasty. Lancet 1989;334:102-3.
  42. Appelman YE, Piek JJ, Strikwerda S, et al. Randomised trial of excimer laser angioplasty versus balloon angioplasty for treatment of obstructive coronary artery disease. Lancet 1996;347:79-84.
  43. Tcheng JE, Wells LD, Phillips HR, Deckelbaum LI, Golobic RA. Development of a new technique for reducing pressure pulse generation during 308-nm excimer laser coronary angioplasty. Cathet Cardiovasc Diagn 1995;34:15-22.
  44. Mintz GS, Kovach JA, Javier SP, et al. Mechanisms of lumen enlargement after excimer laser coronary angioplasty. An intravascular ultrasound study. Circulation 1995;92:3408-14.
  45. Bilodeau L, Fretz EB, Taeymans Y, Koolen J, Taylor K, Hilton DJ. Novel use of a high-energy excimer laser catheter for calcified and complex coronary artery lesions. Catheter Cardiovasc Interv 2004;62:155-61.
  46. Latib A, Takagi K, Chizzola G, et al. Excimer laser lesion modification to expand non-dilatable stents: the ELLEMENT registry. Cardiovasc Revasc Med 2014;15:8-12.
  47. Lee T, Shlofmitz RA, Song L, et al. The effectiveness of excimer laser angioplasty to treat coronary in-stent restenosis with peri-stent calcium as assessed by optical coherence tomography. EuroIntervention 2019;15:e279-88.
  48. Brinton TJ, Ali ZA, Hill JM, et al. Feasibility of shockwave coronary intravascular lithotripsy for the treatment of calcified coronary stenoses. Circulation 2019;139:834-6.
  49. Ali ZA, Nef H, Escaned J, et al. Safety and effectiveness of coronary intravascular lithotripsy for treatment of severely calcified coronary stenoses: the Disrupt CAD II study. Circ Cardiovasc Interv 2019;12:e008434.
  50. Hill JM, Kereiakes DJ, Shlofmitz RA, et al. Intravascular lithotripsy for treatment of severely calcified coronary artery disease. J Am Coll Cardiol 2020;76:2635-46.
  51. Wong JJ, Umapathy S, Keh YS, et al. Coronary intravascular lithotripsy versus rotational atherectomy in an Asian population: clinical outcomes in real-world patients. Korean Circ J 2022;52:288-300.
  52. Mauri L, Bonan R, Weiner BH, et al. Cutting balloon angioplasty for the prevention of restenosis: results of the Cutting Balloon Global Randomized Trial. Am J Cardiol 2002;90:1079-83.
  53. Tian W, Mahmoudi M, Lhermusier T, et al. Comparison of rotational atherectomy, plain old balloon angioplasty, and cutting-balloon angioplasty prior to drug-eluting stent implantation for the treatment of heavily calcified coronary lesions. J Invasive Cardiol 2015;27:387-91.
  54. Redfors B, Maehara A, Witzenbichler B, et al. Outcomes after successful percutaneous coronary intervention of calcified lesions using rotational atherectomy, cutting-balloon angioplasty, or balloon-only angioplasty before drug-eluting stent implantation. J Invasive Cardiol 2017;29:378-86.
  55. Fonseca A, Costa JR Jr, Abizaid A, et al. Intravascular ultrasound assessment of the novel AngioSculpt scoring balloon catheter for the treatment of complex coronary lesions. J Invasive Cardiol 2008;20:21-7.
  56. Ashida K, Hayase T, Shinmura T. Efficacy of lacrosse NSE using the "leopard-crawl" technique on severely calcified lesions. J Invasive Cardiol 2013;25:555-64.
  57. Otsuka Y, Koyama T, Imoto Y, et al. Prolonged inflation technique using a scoring balloon for severe calcified lesion. Int Heart J 2017;58:982-7.
  58. Kawase Y, Saito N, Watanabe S, et al. Utility of a scoring balloon for a severely calcified lesion: bench test and finite element analysis. Cardiovasc Interv Ther 2014;29:134-9.
  59. Raja Y, Routledge HC, Doshi SN. A noncompliant, high pressure balloon to manage undilatable coronary lesions. Catheter Cardiovasc Interv 2010;75:1067-73.
  60. Secco GG, Ghione M, Mattesini A, et al. Very high-pressure dilatation for undilatable coronary lesions: indications and results with a new dedicated balloon. EuroIntervention 2016;12:359-65.
  61. Rheude T, Rai H, Richardt G, et al. Super high-pressure balloon versus scoring balloon to prepare severely calcified coronary lesions: the ISAR-CALC randomised trial. EuroIntervention 2021;17:481-8.
  62. Khan AA, Murtaza G, Khalid MF, et al. Outcomes of rotational atherectomy versus orbital atherectomy for the treatment of heavily calcified coronary stenosis: a systematic review and meta-analysis. Catheter Cardiovasc Interv 2021;98:884-92.
  63. Jurado-Roman A, Gonzalvez A, Galeote G, Jimenez-Valero S, Moreno R. RotaTripsy: combination of rotational atherectomy and intravascular lithotripsy for the treatment of severely calcified lesions. JACC Cardiovasc Interv 2019;12:e127-9.
  64. Chiang CS, Alan Chan KC, Lee M, Chan KT. Orbital-Tripsy: novel combination of orbital-atherectomy and intravascular-lithotripsy, in calcified coronaries after failed intravascular-lithotripsy. JACC Case Rep 2020;2:2437-44.
  65. Tehrani S, Rathore S, Achan V. Changing paradigm for treatment of heavily calcified coronary artery disease. A complementary role of rotational atherectomy and intravascular lithotripsy with shockwave balloon: a case report. Eur Heart J Case Rep 2020;5:ytaa456.
  66. McLaughlin TJ, Sachdeva R, Kumar G. First United States experience with rota-shock: a case series. Cardiovasc Revasc Med 2022;40S:209-13.