First United States Experience With Rota-Shock: A Case Series

McLaughlin, Terence; Sachdeva, Rajesh; Kumar, Gautam

doi:10.1016/j.carrev.2021.08.028

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…In response to the shortcomings of listed plaque-modification methods, a novel technique of highly calcified lesion preparation rota-lithotripsy, also known as rota-tripsy or rota-shock, has been recently introduced. The initial low-number and short-term [ 2 , 9 , 14 , 27 , 28 , 38 ] observation studies point at promising results and an acceptable safety profile. This novel treatment concept is dedicated to highly calcified lesions, concentrically protruding to the vessel lumen and extending deep into the vascular wall.…”

Section: Discussionmentioning

confidence: 99%

Rota-Lithotripsy as a Novel Bail-Out Strategy for Highly Calcified Coronary Lesions in Acute Coronary Syndrome

Rola

Furtan

Włodarczak³

et al. 2022

Biomedicines

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Background: Heavily calcified lesions in acute coronary syndrome (ACS) still represent a challenging subset for percutaneous coronary intervention (PCI). Rota-lithotripsy—a marriage of rotational atherectomy and intravascular lithotripsy—has recently been introduced to clinical practice as a novel therapeutic option. Methods: This study is among the to present the 6-month clinical outcomes of rota-lithotripsy when performed in the ACS setting. The study cohort consisted of 15 consecutive ACS patients who underwent a rota-lithotripsy-PCI due to the presence of a highly calcified, undilatable lesion. Results: The procedural success ratio reached 100%. During the 6-month follow-up, in two of the patients, instances of MACE (major adverse cardiac events) occurred, including one fatal event. Additionally, during the observation period, one target lesion failure, due to subacute stent thrombosis, was identified. Conclusions: Rotational atherectomy with the subsequent use of shockwave intravascular lithotripsy appears to be a safe and effective therapeutic bail-out option for the management of highly calcified coronary artery lesions. Despite, these initial favorable outcomes, carrying out a large number of studies with long-term observations is still necessary in order to establish the potential benefits and shortcomings of rota-lithotripsy.

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Section: Discussionmentioning

confidence: 99%

Rota-Lithotripsy as a Novel Bail-Out Strategy for Highly Calcified Coronary Lesions in Acute Coronary Syndrome

Rola

Furtan

Włodarczak³

et al. 2022

Biomedicines

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“…The upfront use of atherectomy to debulk thick calcium ring followed by lithoplasty to fracture the calcium has been described in case report and small series. 63) 64) 65) 66) After initial lesion preparation with either rotational or orbital atherectomy, delivery of lithoplasty balloon is enhanced and calcium fracture can be achieved at low inflation pressure with intravascular lithotripsy. Both Rota-Shock (rotational atherectomy followed by lithoplasty) and Orbital-Tripsy (orbital atherectomy followed by lithoplasty) appear to be feasible and safe with the limited current evidence, and more high-quality data from large-scale clinical trials is warranted.…”

Section: Specific Strategies In Calcium Modificationmentioning

confidence: 99%

Contemporary Interventional Approach to Calcified Coronary Artery Disease

Sung

Lam

2023

Korean Circ J

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Author's summary This paper comprehensively reviews the latest evidence regarding interventional approach to highly calcified coronary lesions in the catheterization laboratory. It covers the epidemiology, diagnostic tools and interventional strategies for calcified coronary artery disease. The introduction of various new diagnostic and interventional tools have completely changed the landscape of approach to coronary calcium in the past 2 decades. However, the optimal approach to this therapeutically challenging entity remains controversial. This review paper proposes a management algorithm based on latest evidence on diagnosis and intervention to calcified coronary artery disease.

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Combination Tools for Calcium Modification from RASER to Orbitalshock

Hinton,

O’Kane

2024

Interv Cardiol

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Coronary artery calcification is frequently encountered during percutaneous coronary intervention and its presence is associated with a higher risk of stent under-expansion which has been associated with long-term risk of stent failure. There are several different calcium modification strategies available, whether they be balloon-based devices (cutting/scoring and intravascular lithotripsy) or atherectomy devices (orbital atherectomy, rotational atherectomy, excimer laser coronary atherectomy) that are established for the modification of coronary calcification. Each strategy applies a different mechanism of action for calcium modulation and consequently the potential to combine modifying tools may offer synergistic advantages over device monotherapy. This article will focus on reviewing the evidence for the use of multiple calcium modification techniques and examine whether there really is any such synergistic effect of combining these tools.

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First United States Experience With Rota-Shock: A Case Series

Cited by 4 publications

References 17 publications

Rota-Lithotripsy as a Novel Bail-Out Strategy for Highly Calcified Coronary Lesions in Acute Coronary Syndrome

Rota-Lithotripsy as a Novel Bail-Out Strategy for Highly Calcified Coronary Lesions in Acute Coronary Syndrome

Contemporary Interventional Approach to Calcified Coronary Artery Disease

Combination Tools for Calcium Modification from RASER to Orbitalshock

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