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Atherectomy for calcified coronary lesions: When and how?
Author(s) -
Karatasakis Aris,
Brilakis Emmanouil S.
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26486
Subject(s) - medicine , atherectomy , percutaneous coronary intervention , radiology , cardiology , stent , restenosis , myocardial infarction
Key Points Percutaneous coronary intervention of heavily calcified lesions can be challenging. Although the ROTAXUS trial did not demonstrate long‐term clinical benefit with routine rotational atherectomy, atherectomy remains an indispensable tool to achieve acute procedural success. Until new data becomes available determining when and how to optimally use coronary atherectomy depends heavily on personal experience and clinical judgment.