Right Coronary Artery Calcified Nodule Pre-TAVI Treatment Facilitated by ELCA Atherectomy.

ABSTRACT:

Background

Managing calcified nodules remains a clinical challenge.

Case summary

A 77-year-old man underwent coronary angiography during pre-transcatheter aortic valve implantation workout, showing a severe middle right coronary artery stenosis associated with a suspicious angiographic calcified nodule. Excimer laser was used for plaque preparation and for facilitating subsequent optical coherence tomography intracoronary imaging-guided percutaneous coronary intervention (PCI). Excimer laser coronary angioplasty was successfully performed, with a good final PCI result.

Discussion

This case illustrates the practical application of a niche device (eg, excimer laser coronary angioplasty) as a useful tool to tackle calcified nodules and to allow a state-of-the-art PCI.

SUBMITTER: Lombardi M 

PROVIDER: S-EPMC11911895 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature