Eruptive calcified nodules (CNs) are a manifestation of severely calcified plaques, which exist in acute coronary syndrome (ACS), non‐ACS lesions. Optical coherence tomography is crucial for diagnosing and treating eruptive CNs in clinical practice. Management of eruptive CNs is still a challenge for interventional cardiologists. There have been significant advances in the treatment of eruptive CNs such as intravascular lithotripsy, excimer laser coronary atherectomy, rotational atherectomy, and orbital atherectomy. We find a range of treatment modalities to be effective under different conditions. The selection of these devices should be considered based on guidewire position, lesion characteristics, clinical manifestations, and operator's experiences.

中文翻译：

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冠状动脉喷发性钙化结节的治疗方法


爆发性钙化结节（CNs）是严重钙化斑块的一种表现，存在于急性冠状动脉综合征（ACS）、非ACS病变中。光学相干断层扫描对于临床实践中诊断和治疗发疹性 CN 至关重要。爆发性 CN 的治疗对于介入心脏病专家来说仍然是一个挑战。血管内碎石术、准分子激光冠状动脉斑块旋切术、旋转斑块旋切术和眼眶斑块旋切术等爆发性 CN 的治疗已取得重大进展。我们发现一系列治疗方式在不同条件下都有效。这些装置的选择应根据导丝位置、病变特征、临床表现和操作者经验来考虑。