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The cloak of calcium: Coronary angiography is not to be trusted
Author(s) -
Grines Cindy L.,
Leimbach Mark E.
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29565
Subject(s) - medicine , fractional flow reserve , cardiology , coronary angiography , stenosis , coronary arteries , hemodynamics , radiology , angiography , coronary flow reserve , coronary artery disease , artery , myocardial infarction
Key Points Heavily calcified coronary arteries may mask lesions. There is no correlation between angiographic determination of stenosis severity 40–80% and intracoronary measurements of fractional flow reserve and Pd/Pa in heavily calcified lesions. It is essential to perform additional intracoronary hemodynamic measurements or invasive imaging to determine the significance of calcified coronary lesions.