Managing Complex Coronary Lesions with Advanced PCI Techniques
The treatment of complex coronary lesions represents one of the greatest challenges in Percutaneous Coronary Intervention. Advances in technique and device technology have expanded PCI’s ability to address anatomically difficult cases once considered unsuitable for catheter-based treatment.
Calcified lesions are a common obstacle, particularly in elderly patients and those with diabetes. These lesions resist balloon expansion and hinder stent deployment. Atherectomy devices and high-pressure balloons are frequently used to modify plaque structure, facilitating optimal stent placement.
Chronic total occlusions require specialized strategies and skilled operators. Success depends on careful wire selection, imaging guidance, and advanced crossing techniques. While technically demanding, successful intervention can significantly improve symptoms and quality of life.
Bifurcation lesions present additional complexity due to the involvement of side branches. Dedicated techniques and stent strategies are employed to preserve blood flow and minimize restenosis. Operator experience and procedural planning are critical in achieving favorable outcomes.
Continued innovation and training are essential to managing complex coronary disease, ensuring that PCI remains a viable option for a broader patient population.