Advanced CT Imaging for the Assessment of Calcific Coronary Artery Disease and PCI Planning

Atomu Tajima; Frederic Bouisset; Hirofumi Ohashi; Koshiro Sakai; Takuya Mizukami; Maurizio Lodi Rizzini; Diego Gallo; Claudio Chiastra; Umberto Morbiducci; Ziad A Ali; James C Spratt; Hirohiko Ando; Tetsuya Amano; Pieter Kitslaar; Adriaan Wilgenhof; Jeroen Sonck; Bernard De Bruyne; Carlos Collet

doi:10.1016/j.jscai.2024.101299

Advanced CT Imaging for the Assessment of Calcific Coronary Artery Disease and PCI Planning

J Soc Cardiovasc Angiogr Interv. 2024 Mar 26;3(3Part B):101299. doi: 10.1016/j.jscai.2024.101299. eCollection 2024 Mar.

Authors

Atomu Tajima¹, Frederic Bouisset¹, Hirofumi Ohashi², Koshiro Sakai³, Takuya Mizukami¹, Maurizio Lodi Rizzini⁴, Diego Gallo⁴, Claudio Chiastra⁴, Umberto Morbiducci⁴, Ziad A Ali⁵, James C Spratt⁶, Hirohiko Ando², Tetsuya Amano², Pieter Kitslaar⁷, Adriaan Wilgenhof^{1

8}, Jeroen Sonck¹, Bernard De Bruyne¹, Carlos Collet¹

Affiliations

¹ Cardiovascular Center, OLV Hospital, Aalst, Belgium.
² Department of Cardiology, Aichi Medical University, Nagakute, Aichi, Japan.
³ Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
⁴ PolitoMed Lab, Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, Italy.
⁵ St Francis Hospital & Heart Center, Roslyn, New York.
⁶ St. George's, University of London, London, United Kingdom.
⁷ Medis Medical Imaging Systems BV, Leiden, the Netherlands.
⁸ Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.

Abstract

Vascular calcification is a hallmark of atherosclerosis and adds considerable challenges for percutaneous coronary intervention (PCI). This review underscores the critical role of coronary computed tomography (CT) angiography in assessing and quantifying vascular calcification for optimal PCI planning. Severe calcification significantly impacts procedural outcomes, necessitating accurate preprocedural evaluation. We describe the potential of coronary CT for calcium assessment and how CT may enhance precision in device selection and procedural strategy. These advancements, along with the ongoing Precise Procedural and PCI Plan study, represent a transformative shift toward personalized PCI interventions, ultimately improving patient outcomes in the challenging landscape of calcified coronary lesions.

Keywords: calcified lesions; computed tomography-guided percutaneous coronary intervention; coronary artery disease; coronary computed tomography angiography.

Publication types

Review