Aggressive Plaque Modification with Rotational Atherectomy and/or Cutting Balloon before Drug‐Eluting Stent Implantation for the Treatment of Calcified Coronary Lesions

Vaquerizo, Beatriz; Serra, Antonio; Miranda, Faustino; Triano, José Luis; Sierra, Gilberto; Delgado, Guillermo; Puentes, Ángel; Mojal, Sergi; Brugera, Jordi

doi:10.1111/j.1540-8183.2010.00547.x

Cited by 57 publications

(32 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Rates of periprocedural complications in the literature range from 1.6 to 14.4% whilst vascular access complications range from 1.6 to 5.8% . In our multicentre, observational study we have confirmed the low rates of periprocedural (6.4%) and vascular access complications (1.9%), in a high‐risk, all‐comers population.…”

Section: Discussionsupporting

confidence: 80%

Cardiovascular Outcomes Following Rotational Atherectomy: A UK Multicentre Experience

Eftychiou

Barmby

Wilson

et al. 2016

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 80%

Cardiovascular Outcomes Following Rotational Atherectomy: A UK Multicentre Experience

Eftychiou

Barmby

Wilson

et al. 2016

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…1) Several devices such as those used in directional coronary atherectomy, 6) RA, [7][8][9][10][11] and cutting balloon [10][11][12] for calcified lesions have been proposed to achieve optimal dilation prior to stent implantation. However, it is occasionally difficult to achieve dilation because of the presence of a heavy calcified plaque even after RA.…”

Section: Discussionmentioning

confidence: 99%

Prolonged Inflation Technique Using a Scoring Balloon for Severe Calcified Lesion

et al. 2017

View full text Add to dashboard Cite

SummaryPercutaneous coronary intervention for the treatment of a severe calcified lesion is still one of the most technically challenging areas of interventional cardiology. Calcified lesions are a cause of stent underexpansion, which significantly increases the subsequent risks of in-stent restenosis and thrombosis, even when drug-eluting stents are used. In this report, we describe the usefulness of prolonged inflations using a scoring balloon catheter (Scoreflex) for severe calcified lesions. Prolonged inflation using a scoring balloon enables an adequate dilation for treatment of a severe calcified plaque that was unresponsive to conventional technique with or without rotational atherectomy.(Int Heart J 2017; 58: 982-987) Key words: Calcified plaque and indentation, Scoreflex T he use of drug-eluting stents (DESs) reduces the risks of repeat revascularization without an increase in death and myocardial infarction compared with the standard bare-metal stents. However, the risk of in-stent restenosis and stent thrombosis (ST) after DES implantation still remains.Percutaneous coronary intervention (PCI) for the treatment of a severe calcified lesion is still one of the most technically challenging areas of interventional cardiology.

show abstract

“…Rotational atherectomy is reasonable for fibrotic or heavily calcified lesions that might not be crossed by a balloon catheter or adequately dilated before stent implantation (258,259,395). …”

Section: Class Iiamentioning

confidence: 99%

2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: Executive Summary

Levine¹,

Bates²,

Blankenship³

et al. 2011

Journal of the American College of Cardiology

117

View full text Add to dashboard Cite

Aggressive Plaque Modification with Rotational Atherectomy and/or Cutting Balloon before Drug‐Eluting Stent Implantation for the Treatment of Calcified Coronary Lesions

Abstract: In this population at high risk of restenosis, aggressive PM by CB and/or RA before DES implantation provides excellent mid-term outcomes with only 3.4% TLR and 2.1% ST.

Cited by 57 publications

References 34 publications

Cardiovascular Outcomes Following Rotational Atherectomy: A UK Multicentre Experience

Cardiovascular Outcomes Following Rotational Atherectomy: A UK Multicentre Experience

Prolonged Inflation Technique Using a Scoring Balloon for Severe Calcified Lesion

2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: Executive Summary

Contact Info

Product

Resources

About