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 journalArticlepeer-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 languageEnglish
JournalCatheterization and Cardiovascular Interventions
DOIs
Publication statusAccepted/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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