Treatment of simple and complex coronary stenosis using rotational ablation followed by low pressure balloon angioplasty

M. Borrione, P. Hall, Y. Almagor, L. Maiello, B. Khlat, L. Finci, A. Colombo

Research output: Contribution to journalArticle

Abstract

High speed coronary rotational ablation followed by adjunctive low pressure coronary balloon angioplasty was used in 166 patients. Complex lesions were present in 63% of patients. Clinical success was achieved in 157 patients (95%). Angiographic success rate was 10% in A lesions, 95% in B1 lesions, 98% in B2 lesions, and 93% in C lesions. Mean vessel lumen diameter has increased from 0.4 mm to 1.4 mm after rotational ablation and to 2.3 mm following adjunctive balloon angioplasty. Left ventricular dysfunction, the presence of total occlusion, and the severity of stenosis before the procedure were predictive of clinical failure. There were three abrupt vessel closures (1.8%) with one Q wave myocardial infarction. Non-Q wave myocardial infarction occurred in 14 patients (8.4%) and three patients died during hospitalisation (1.8%). We conclude that rotational atherectomy followed by adjunctive low pressure balloon angioplasty gives comparable high success rates in different coronary lesions.

Original languageEnglish
Pages (from-to)131-137
Number of pages7
JournalCatheterization and Cardiovascular Diagnosis
Volume30
Issue number2
Publication statusPublished - 1993

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Balloon Angioplasty
Coronary Stenosis
Pressure
Myocardial Infarction
Coronary Atherectomy
Therapeutics
Coronary Balloon Angioplasty
Left Ventricular Dysfunction
Pathologic Constriction
Hospitalization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Borrione, M., Hall, P., Almagor, Y., Maiello, L., Khlat, B., Finci, L., & Colombo, A. (1993). Treatment of simple and complex coronary stenosis using rotational ablation followed by low pressure balloon angioplasty. Catheterization and Cardiovascular Diagnosis, 30(2), 131-137.

Treatment of simple and complex coronary stenosis using rotational ablation followed by low pressure balloon angioplasty. / Borrione, M.; Hall, P.; Almagor, Y.; Maiello, L.; Khlat, B.; Finci, L.; Colombo, A.

In: Catheterization and Cardiovascular Diagnosis, Vol. 30, No. 2, 1993, p. 131-137.

Research output: Contribution to journalArticle

Borrione, M, Hall, P, Almagor, Y, Maiello, L, Khlat, B, Finci, L & Colombo, A 1993, 'Treatment of simple and complex coronary stenosis using rotational ablation followed by low pressure balloon angioplasty', Catheterization and Cardiovascular Diagnosis, vol. 30, no. 2, pp. 131-137.
Borrione, M. ; Hall, P. ; Almagor, Y. ; Maiello, L. ; Khlat, B. ; Finci, L. ; Colombo, A. / Treatment of simple and complex coronary stenosis using rotational ablation followed by low pressure balloon angioplasty. In: Catheterization and Cardiovascular Diagnosis. 1993 ; Vol. 30, No. 2. pp. 131-137.
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AU - Finci, L.

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