Rotational atherectomy of calcified coronary lesions: current practice and insights from two randomized trials

Abstract: With growing experience, technical improvements and use of newer generation drug-eluting stents (DES), recent data showed satisfactory acute and long-term results after rotational atherectomy (RA) in calcified coronary lesions. The randomized ROTAXUS and PREPARE–CALC trials compared RA to balloon-based strategies in two different time periods in the DES era. In this manuscript, we assessed the technical evolution in RA practice from a pooled analysis of the RA groups of both trials and established a link to further recent literature. Furthermore, we sought to summarize and analyze the available experience with RA in different patient and lesion subsets, and propose recommendations to improve RA practice. We also illustrated the combination of RA with other methods of lesion preparation. Finally, based on the available evidence, we propose a simple and practical approach to treat severely calcified lesions

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch
Anmerkungen
Clinical research in cardiology. - 112, 9 (2023) , 1143-1163, ISSN: 1861-0692

Ereignis
Veröffentlichung
(wo)
Freiburg
(wer)
Universität
(wann)
2022
Urheber
Allali, Abdelhakim
Abdel-Wahab, Mohamed S.
Elbasha, Karim
Mankerious, Nader
Traboulsi, Hussein
Kastrati, Adnan
El-Mawardy, Mohamed
Hemetsberger, Rayyan
Sulimov, Dmitriy S.
Neumann, Franz-Josef
Tölg, Ralph
Richardt, Gert

DOI
10.1007/s00392-022-02013-2
URN
urn:nbn:de:bsz:25-freidok-2267052
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:47 MESZ

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  • 2022

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