topicCalcium Fracture Randomized Trial
claimSummary This review summarizes current evidence on scoring balloons, cutting balloons, and ultra-high-pressure (OPN NC) balloons and aims to define their specific role and indications in the treatment of calcified coronary disease.
evidence level3
citationColletti G (2026)
sourceCalcium modifying dedicated balloons: a contemporary review.
topicCalcium Fracture Randomized Trial
claimBackground Calcified coronary lesions are a major challenge in percutaneous coronary intervention (PCI), frequently leading to stent underexpansion, restenosis, and adverse events.
evidence level3
citationColletti G (2026)
sourceCalcium modifying dedicated balloons: a contemporary review.
topicCalcium Fracture Randomized Trial
claimWhile multiple technologies exist for plaque modification, there remains a critical need for clear guidance on the optimal selection and use of dedicated balloon-based devices.
evidence level3
citationColletti G (2026)
sourceCalcium modifying dedicated balloons: a contemporary review.
topicCalcium Fracture Randomized Trial
claimAccordingly, contemporary guidelines no longer recommend IN-CAL as first-line treatment for chronic osteoporosis, and concerns regarding a potential malignancy signal further limited long-term use.
evidence level3
citationAhmad Areeb (2026)
sourceRevisiting Intranasal Salmon Calcitonin: Historical Osteoporosis Evidence and a Potential Role in Acute Orthopaedic Pain Management
topicCalcium Fracture Randomized Trial
claim18 A landmark review by Plosker and McTavish summarized the pharmacologic and clinical evidence for IN-CAL through the mid-1990s.
evidence level3
citationAhmad Areeb (2026)
sourceRevisiting Intranasal Salmon Calcitonin: Historical Osteoporosis Evidence and a Potential Role in Acute Orthopaedic Pain Management
topicCalcium Fracture Randomized Trial
claimThe present review builds upon this foundation by contextualizing historical data and synthesizing subsequent evidence across 3 domains: (1) pharmacology and mechanisms; (2) established and preventive osteoporosis; and (3) acute orthopaedic applications, with particular emphasis on analgesia and time-dependent therapeutic effects.
evidence level3
citationAhmad Areeb (2026)
sourceRevisiting Intranasal Salmon Calcitonin: Historical Osteoporosis Evidence and a Potential Role in Acute Orthopaedic Pain Management
topicCalcium Fracture Randomized Trial
claim1 3 - 4 5 , Intranasal salmon calcitonin (IN-CAL) is a peptide antiresorptive agent historically used in the management of postmenopausal osteoporosis, where early randomized trials demonstrated lumbar spine-specific increases in bone mineral density (BMD) with minimal peripheral effects.
evidence level3
citationAhmad Areeb (2026)
sourceRevisiting Intranasal Salmon Calcitonin: Historical Osteoporosis Evidence and a Potential Role in Acute Orthopaedic Pain Management