In a press release, the Society for Cardiovascular Angiography & Interventions (SCAI) detailed strategies to manage patients with calcified coronary lesions who may require percutaneous coronary intervention. The SCAI Expert Consensus Statement was published by Riley et al in the Journal of the Society for Cardiovascular Angiography & Interventions. The society emphasized that because the prevalence of calcified coronary lesions may be increasing and intervention can often result in short- and long-term consequences, there is a need to optimize outcomes in this patient population. They outlined new methods to determine the types of lesions, algorithms to inform physicians utilizing approaches to calcium modification, and guidance on novel treatment modalities prior to stent implantation. The SCAI advised physicians to determine which calcium modification approaches may be most effective and to prepare blood vessels for optimal stent deployment through the use of intravascular imaging. They concluded that future studies and clinical trials may better identify effective strategies for managing patients with calcified coronary lesions.