Planned versus provisional rotational atherectomy for severe calcified coronary lesions: Insights From the ROTATE multi-center registry

Hiroyoshi Kawamoto; Azeem Latib; Neil Ruparelia; Giacomo Boccuzzi; Mauro Pennacchi; Gennaro Sardella; Roberto Garbo; Emanuele Meliga; Fabrizio D'Ascenzo; Claudio Moretti; Marco Luciano Rossi; Patrizia Presbitero; Alfonso Ielasi; Caroline J. Magri; Sunao Nakamura; Antonio Colombo

doi:10.1002/ccd.26411

Planned versus provisional rotational atherectomy for severe calcified coronary lesions: Insights From the ROTATE multi-center registry

Hiroyoshi Kawamoto, Azeem Latib, Neil Ruparelia, Giacomo Boccuzzi, Mauro Pennacchi, Gennaro Sardella, Roberto Garbo, Emanuele Meliga, Fabrizio D'Ascenzo, Claudio Moretti, Marco Luciano Rossi, Patrizia Presbitero, Alfonso Ielasi, Caroline J. Magri, Sunao Nakamura, Antonio Colombo

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: We aimed to investigate procedural feasibility and outcomes associated with planned rotational atherectomy (RA) for severely calcified coronary lesions. Background: Limited data are available addressing the benefits of planned RA compared to provisional RA. Methods: Between 2002 and 2013, all patients with calcified lesions treated by RA were enrolled. Of these, patients treated with planned RA (358 patients) were compared to those treated with provisional RA (309 patients). Results: In-hospital major adverse cardiovascular events (MACE) were tended to be better in the planned RA group (unadjusted OR: 0.76; 95% CI: 0.44-1.31, P=0.32, and adjusted OR: 0.59; 95% CI: 0.33-1.05, P=0.07). The number of pre-dilation balloon catheters was significantly lower in the planned RA group (1.17±0.60 vs. 1.47±0.76, P

Original language	English
Journal	Catheterization and Cardiovascular Interventions
DOIs	https://doi.org/10.1002/ccd.26411
Publication status	Accepted/In press - 2016

Keywords

Calcified lesions
Percutaneous coronary intervention
Rotational atherectomy

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Radiology Nuclear Medicine and imaging

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10.1002/ccd.26411

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Kawamoto, H., Latib, A., Ruparelia, N., Boccuzzi, G., Pennacchi, M., Sardella, G., Garbo, R., Meliga, E., D'Ascenzo, F., Moretti, C., Rossi, M. L., Presbitero, P., Ielasi, A., Magri, C. J., Nakamura, S., & Colombo, A. (Accepted/In press). Planned versus provisional rotational atherectomy for severe calcified coronary lesions: Insights From the ROTATE multi-center registry. Catheterization and Cardiovascular Interventions. https://doi.org/10.1002/ccd.26411

Planned versus provisional rotational atherectomy for severe calcified coronary lesions : Insights From the ROTATE multi-center registry. / Kawamoto, Hiroyoshi; Latib, Azeem; Ruparelia, Neil; Boccuzzi, Giacomo; Pennacchi, Mauro; Sardella, Gennaro; Garbo, Roberto; Meliga, Emanuele; D'Ascenzo, Fabrizio; Moretti, Claudio; Rossi, Marco Luciano; Presbitero, Patrizia; Ielasi, Alfonso; Magri, Caroline J.; Nakamura, Sunao; Colombo, Antonio.

In: Catheterization and Cardiovascular Interventions, 2016.

Research output: Contribution to journal › Article › peer-review

Kawamoto, H, Latib, A, Ruparelia, N, Boccuzzi, G, Pennacchi, M, Sardella, G, Garbo, R, Meliga, E, D'Ascenzo, F, Moretti, C, Rossi, ML, Presbitero, P, Ielasi, A, Magri, CJ, Nakamura, S & Colombo, A 2016, 'Planned versus provisional rotational atherectomy for severe calcified coronary lesions: Insights From the ROTATE multi-center registry', Catheterization and Cardiovascular Interventions. https://doi.org/10.1002/ccd.26411

Kawamoto, Hiroyoshi ; Latib, Azeem ; Ruparelia, Neil ; Boccuzzi, Giacomo ; Pennacchi, Mauro ; Sardella, Gennaro ; Garbo, Roberto ; Meliga, Emanuele ; D'Ascenzo, Fabrizio ; Moretti, Claudio ; Rossi, Marco Luciano ; Presbitero, Patrizia ; Ielasi, Alfonso ; Magri, Caroline J. ; Nakamura, Sunao ; Colombo, Antonio. / Planned versus provisional rotational atherectomy for severe calcified coronary lesions : Insights From the ROTATE multi-center registry. In: Catheterization and Cardiovascular Interventions. 2016.

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abstract = "Objectives: We aimed to investigate procedural feasibility and outcomes associated with planned rotational atherectomy (RA) for severely calcified coronary lesions. Background: Limited data are available addressing the benefits of planned RA compared to provisional RA. Methods: Between 2002 and 2013, all patients with calcified lesions treated by RA were enrolled. Of these, patients treated with planned RA (358 patients) were compared to those treated with provisional RA (309 patients). Results: In-hospital major adverse cardiovascular events (MACE) were tended to be better in the planned RA group (unadjusted OR: 0.76; 95% CI: 0.44-1.31, P=0.32, and adjusted OR: 0.59; 95% CI: 0.33-1.05, P=0.07). The number of pre-dilation balloon catheters was significantly lower in the planned RA group (1.17±0.60 vs. 1.47±0.76, P",

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AU - Ruparelia, Neil

AU - Boccuzzi, Giacomo

AU - Pennacchi, Mauro

AU - Sardella, Gennaro

AU - Garbo, Roberto

AU - Meliga, Emanuele

AU - D'Ascenzo, Fabrizio

AU - Moretti, Claudio

AU - Rossi, Marco Luciano

AU - Presbitero, Patrizia

AU - Ielasi, Alfonso

AU - Magri, Caroline J.

AU - Nakamura, Sunao

AU - Colombo, Antonio

PY - 2016

Y1 - 2016

N2 - Objectives: We aimed to investigate procedural feasibility and outcomes associated with planned rotational atherectomy (RA) for severely calcified coronary lesions. Background: Limited data are available addressing the benefits of planned RA compared to provisional RA. Methods: Between 2002 and 2013, all patients with calcified lesions treated by RA were enrolled. Of these, patients treated with planned RA (358 patients) were compared to those treated with provisional RA (309 patients). Results: In-hospital major adverse cardiovascular events (MACE) were tended to be better in the planned RA group (unadjusted OR: 0.76; 95% CI: 0.44-1.31, P=0.32, and adjusted OR: 0.59; 95% CI: 0.33-1.05, P=0.07). The number of pre-dilation balloon catheters was significantly lower in the planned RA group (1.17±0.60 vs. 1.47±0.76, P

AB - Objectives: We aimed to investigate procedural feasibility and outcomes associated with planned rotational atherectomy (RA) for severely calcified coronary lesions. Background: Limited data are available addressing the benefits of planned RA compared to provisional RA. Methods: Between 2002 and 2013, all patients with calcified lesions treated by RA were enrolled. Of these, patients treated with planned RA (358 patients) were compared to those treated with provisional RA (309 patients). Results: In-hospital major adverse cardiovascular events (MACE) were tended to be better in the planned RA group (unadjusted OR: 0.76; 95% CI: 0.44-1.31, P=0.32, and adjusted OR: 0.59; 95% CI: 0.33-1.05, P=0.07). The number of pre-dilation balloon catheters was significantly lower in the planned RA group (1.17±0.60 vs. 1.47±0.76, P

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KW - Percutaneous coronary intervention

KW - Rotational atherectomy

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