Mid-term results of stent-less coronary intervention using rotational atherectomy and drug-coated balloon for de-novo lesions in hemodialysis patients

Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics: update 2023

“…Moreover, RA might prevent the polymer damage, when DES was delivered to the calcified lesions [30]. Although the initial results of debulking using RA was not satisfactory, the debulking might have developed with the aid of imaging devices and drug-coated balloon in Japan [31][32][33][34][35]. Furthermore, the long-term outcomes following RA with plain old balloon angiography was acceptable when the target lesions were limited to large coronary arteries (diameter ≥ 3 mm) [36].…”