Rotational atherectomy: A "survivor" in the drug-eluting stent era

Marco Zimarino, Thierry Corcos, Ezio Bramucci, Corrado Tamburino

Research output: Contribution to journalArticlepeer-review

Abstract

Mechanical debulking of coronary plaques with rotational atherectomy (RA) has been used for more than 20. years during percutaneous coronary interventions (PCI). Modification of plaque characteristics may be accomplished with selective ablation of inelastic fibrocalcific tissue. The use of RA, though reduced with the development of bare-metal stents (BMS) and even more with drug-eluting stents (DES), has never been completely abandoned. The present review will analyze reasons for conflicting results obtained in large series and randomized trials on this topic in the past, and will identify criteria for an appropriate use in current times.

Original languageEnglish
Pages (from-to)185-192
Number of pages8
JournalCardiovascular Revascularization Medicine
Volume13
Issue number3
DOIs
Publication statusPublished - May 2012

Keywords

  • Calcified coronary lesions
  • In-stent restenosis
  • Percutaneous coronary intervention
  • Rotational atherectomy
  • Stent

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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