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

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Hiroyoshi KawamotoA Colombo

Abstract

We aimed to investigate procedural feasibility and outcomes associated with planned rotational atherectomy (RA) for severely calcified coronary lesions. Limited data are available addressing the benefits of planned RA compared to provisional RA. 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). 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 < 0.001). Procedure time, fluoroscopy time, and contrast volume used were all significantly reduced in the planned RA group compared to the provisional RA group (procedure time; 65.2 ± 36.8min vs. 84.4 ± 43.1min, P < 0.001, fluoroscopy time; 33.1 ± 22.9min vs. 51.2 ± 29.6min, P < 0.001, and contrast volume; 232.9 ± 141.6ml vs. 302.9 ± 150.3ml, P < 0.001). The incidence of MACE at 1-year was significantly higher amongst the unadjusted population, where...Continue Reading

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Citations

Nov 1, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Akihito TanakaAntonio Colombo
Nov 26, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert D Safian
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Jul 21, 2020·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Antonio Serra, Marcelo Jiménez
Aug 18, 2020·BMC Cardiovascular Disorders·Cheng-Fu CaoWei-Min Wang
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May 16, 2019·Circulation. Cardiovascular Interventions·Samin K SharmaJeffrey W Moses
Aug 28, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Emanuele BarbatoAntonio Colombo
May 21, 2020·Minerva cardioangiologica·Armando Del PreteBernardo Cortese
Oct 19, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Michael S LeeRichard Shlofmitz
Apr 2, 2021·Heart·Emanuele Barbato
Oct 20, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Nauman KhalidRon Waksman
Jul 14, 2021·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Abdelhakim AllaliGert Richardt
Jul 13, 2021·Progress in Cardiovascular Diseases·Zach RozenbaumAzeem Latib

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