{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:14:38Z","timestamp":1787498078884,"version":"build-2736575974"},"reference-count":24,"publisher":"Radcliffe Medical Media Ltd","issue":"3","license":[{"start":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T00:00:00Z","timestamp":1574035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/legalcode"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Interv Cardiol"],"abstract":"<jats:p>Heavily calcified coronary artery lesions hinder the delivery of devices and limit stent expansion, resulting in low procedural success and poor clinical outcomes driven by an increase in restenosis and stent thrombosis. Intracoronary imaging provides a more precise assessment of lesions and is a critical step when deciding whether the lesion needs to be prepared with atherectomy devices. Physiological assessment of lesion significance is an important consideration to avoid unnecessary stenting. This article summarises the current data on the value of intracoronary imaging and functional assessment for coronary calcified lesions and suggests a treatment strategy based on the findings of intracoronary imaging findings.<\/jats:p>","DOI":"10.15420\/icr.2019.16.r1","type":"journal-article","created":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T06:40:27Z","timestamp":1575960027000},"page":"164-168","source":"Crossref","is-referenced-by-count":18,"title":["The Value of Intracoronary Imaging and Coronary Physiology When Treating Calcified Lesions"],"prefix":"10.15420","volume":"14","author":[{"given":"Yasushi","family":"Ueki","sequence":"first","affiliation":[{"name":"Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuhiko","family":"Otsuka","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Hibi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Yokohama City University Medical Centre, Yokohama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenz","family":"R\u00e4ber","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6096","published-online":{"date-parts":[[2019,11,18]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"In vivo calcium detection by comparing optical coherence tomography, intravascular ultrasound, and angiography","DOI":"10.1016\/j.jcmg.2017.05.014"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Assessment of fibrous cap thickness by optical coherence tomography in vivo: reproducibility and standardization","DOI":"10.1016\/j.jacc.2016.10.028"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"A statistical analysis of intravascular ultrasound and coronary angiography in 1155 lesions","DOI":"10.1161\/01.CIR.91.7.1959"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Detection of intralesional calcium by intracoronary ultrasound depends on the histologic pattern","DOI":"10.1016\/0002-8703(94)90614-9"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Calcified plaque cross-sectional area in human arteries: correlation between intravascular ultrasound and undecalcified histology","DOI":"10.1016\/S0002-8703(99)70496-5"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"6. 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Rogers JH, Wegelin J, Harder K, et al. Assessment of FFR-negative intermediate coronary artery stenoses by spectral analysis of the radiofrequency intravascular ultrasound signal. J Invasive Cardiol 2006;18:448-53."},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Potential contribution of virtual histology plaque composition to hemodynamic-morphologic dissociation in patients with non-ST elevation acute coronary syndrome","DOI":"10.1016\/j.ijcard.2015.03.316"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Effect of orbital atherectomy in calcified coronary artery lesions as assessed by optical coherence tomography","DOI":"10.1002\/ccd.27902"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"23. Ali ZA, McEntegart M, Hill JM, Spratt JC. Intravascular lithotripsy for treatment of stent underexpansion secondary to severe coronary calcification. 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