Comparison of drug-eluting versus bare-metal stents after rotational atherectomy for the treatment of calcified coronary lesions

Mangiacapra, Fabio; Heyndrickx, Guy R.; Puymirat, Étienne; Peace, Aaron; Wijns, William; Bruyne, Bernard De; Barbato, Emanuele

doi:10.1016/j.ijcard.2011.11.048

Cited by 28 publications

(17 citation statements)

References 15 publications

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“…The rate of MACE in patients after RA and coronary stenting with drug-eluting stent (DES) was lower in comparison to the MACE rates reported in DES alone PCIs trials that have assessed the PCI of moderate and severely calcified lesions [5]. Recently published intermediate and long-term outcomes after PCI and DES with adjunctive RA report rates of target lesion revascularisation (TLR) < 10% within one to two years [6]. In patients treated with RA, rates of MACE are lower with DES stenting compared with bare-metal stent (BMS) stenting [6,7].…”

Section: Next Year Will Mark the 30mentioning

confidence: 99%

“…Recently published intermediate and long-term outcomes after PCI and DES with adjunctive RA report rates of target lesion revascularisation (TLR) < 10% within one to two years [6]. In patients treated with RA, rates of MACE are lower with DES stenting compared with bare-metal stent (BMS) stenting [6,7]. However, the ROTAXUS study did not demonstrate the advantage of RA with DES implantation over angioplasty with DES alone [8].…”

Section: Next Year Will Mark the 30mentioning

confidence: 99%

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Long-term effects of rotational atherectomy in patients with heavy calcified coronary artery lesions: a single-centre experience

Bartuś¹,

Januszek

Legutko³

et al. 2017

Kardiol Pol

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A b s t r a c tBackground: Rotational atherectomy (RA) plays a significant role in contemporary percutaneous coronary interventions (PCI), especially in the era of population aging and expansion of PCI indications. Aim:The aim of the current study was to evaluate the rate of periprocedural complications, the long-term effectiveness of RA, and potential factors influencing the incidence of major adverse cardiac events (MACE) and major cardiac as well as cerebrovascular events (MACCE) after RA. Methods:The study included 60 consecutive patients who underwent effective RA between January 2002 and May 2016. Patients were followed-up for 2,616 days for MACE and MACCE. Results:The mean age of the enrolled patients was 72.1 years, and 78.3% were males. The mean follow-up period lasted 835.3 ± 611.8 days. Periprocedural complications occurred in 12 (20.0%) patients. In the follow-up of up to 2,616 days, 64% of patients were free of MACCE and 68% were free of MACE. Univariate Cox analysis revealed that MACCE occurred more often in patients from the high-risk group based on the EuroSCORE II and those with longer lengths of the implanted stent(s) after the RA procedure. In multivariate Cox regression analysis, both high-risk category and mean stent(s) length were identified as independent predictors of MACCE. EuroSCORE II was confirmed to be the only independent predictor of MACE after RA. Conclusions:Rotational atherectomy is a safe and sufficient technique for the endovascular treatment of heavily calcified coronary artery lesions. Individuals at a higher risk as assessed by the EuroSCORE II before RA and those with longer stent(s) implanted after RA are predisposed to MACCE in the follow-up.

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Section: Next Year Will Mark the 30mentioning

confidence: 99%

Section: Next Year Will Mark the 30mentioning

confidence: 99%

Long-term effects of rotational atherectomy in patients with heavy calcified coronary artery lesions: a single-centre experience

Bartuś¹,

Januszek

Legutko³

et al. 2017

Kardiol Pol

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“…In some series, compared to BMS, DES also results in lower MACE rates. This is primarily secondary to lower rates of Target Lesion Revascularization (TLR) [4,[23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Role of Rotational Atherectomy in Percutaneous Coronary Interventions in Elderly

2018

JCCR

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“…Atherosclerosis treatment may require special surgical procedures such as Balloon Angioplasty [8][9][10][11], Balloon Angioplasty and Stenting [12,13], Cutting Balloon [14][15][16][17][18][19], Atherectomy [20,21], and Surgical Bypass [22][23][24][25][26][27] to open an artery and improve blood flow. Endarterectomy is the main treatment for the carotid artery [28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Feasibility study for removing calcified material using a planar rectangular ultrasound transducer

Damianou

Couppis²

2016

J Ultrasound

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Comparison of drug-eluting versus bare-metal stents after rotational atherectomy for the treatment of calcified coronary lesions

Cited by 28 publications

References 15 publications

Long-term effects of rotational atherectomy in patients with heavy calcified coronary artery lesions: a single-centre experience

Long-term effects of rotational atherectomy in patients with heavy calcified coronary artery lesions: a single-centre experience

Role of Rotational Atherectomy in Percutaneous Coronary Interventions in Elderly

Feasibility study for removing calcified material using a planar rectangular ultrasound transducer

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