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The role of rotational atherectomy in contemporary chronic total occlusion percutaneous coronary intervention
Author(s) -
Sandoval Yader,
Brilakis Emmanouil S.
Publication year - 2017
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.27052
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , atherectomy , balloon , percutaneous , complication , angioplasty , coronary occlusion , occlusion , radiology , cardiology , surgery , stent , myocardial infarction , restenosis
Key Points Rotational atherectomy is performed infrequently (∼3.5%) during chronic total occlusion (CTO) percutaneous coronary intervention (PCI) for two indications: treatment of balloon uncrossable and balloon undilatable lesions. Use of rotational atherectomy in CTO PCI was associated with high success and acceptable complication rates. Rotational atherectomy remains a “must have” device for interventional cardiologists performing complex PCI.