Treatment of nodular calcium in coronary PCI remains a challenge, even for the most skilled operators. Recently, CRT 2021 Virtual featured a live case from Medstar Washington Hospital Center in Washington, DC with nodular calcium from operators Hayder D. Hashim, MD, and Lowell F. Satler, MD, who were joined by an expert panel led by Ron Waksman, MD. During the case the physicians discussed and debated treatment strategies to address nodular calcium, deciding in this case for coronary IVL, which resulted from a baseline MLA of 1.6mm2 to a post-IVL MLA of 4.9mm2 to a post-DES MSA of 7.2mm2.
