Outcomes of Intravascular Imaging in Orbital Atherectomy; Insight From the National Readmissions Database

Sandhyavenu, Harigopal; Ullah, Waqas; Badu, Irisha; Zghouzi, Mohamed; Baqal, Omar J.; Akhtar-Ali, Muhammad; Mir, Tanveer; Minhas, Abdul Mannan Khan; Johnson, Drew; Virani, Salim S.; Fischman, David L.; Alraies, M. Chadi; Savage, Michael P.

doi:10.1016/j.cpcardiol.2022.101475

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…These techniques measure parameters such as the amount of calcium, arc, and wall thickness, which can be subsequently used as predictors for adequate stent expansion [42]. Although not applied prior every time OA, RA, or IVL is performed, intravascular ultrasound (IVUS) imaging and OCT are proven to enhance the clinical outcomes of individuals receiving percutaneous coronary intervention (PCI) and have been associated with a lower in-hospital mortality rate [35,41,43,44].…”

Section: Intravascular Imaging In Ra Oa and Ivlmentioning

confidence: 99%

Rotational Atherectomy, Orbital Atherectomy, and Intravascular Lithotripsy Comparison for Calcified Coronary Lesions

Florek,

Bartoszewska,

Biegała

et al. 2023

JCM

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In order to improve the percutaneous treatment of coronary artery calcifications (CAC) before stent implantation, methods such as rotational atherectomy (RA), orbital atherectomy (OA), and coronary intravascular lithotripsy (IVL) were invented. These techniques use different mechanisms of action and therefore have various short- and long-term outcomes. IVL employs sonic waves to modify CAC, whereas RA and OA use a rapidly rotating burr or crown. These methods have specific advantages and limitations, regarding their cost-efficiency, the movement of the device, their usefulness given the individual anatomy of both the lesion and the vessel, and the risk of specified complications. This study reviews the key findings of peer-reviewed articles available on Google Scholar with the keywords RA, OA, and IVL. Based on the collected data, successful stent delivery was assessed as 97.7% for OA, 92.4% for IVL, and 92.5% for RA, and 30-day prevalence of MACE (Major Adverse Cardiac Events) in OA—10.4%, IVL—7.2%, and RA—5%. There were no significant differences in the 1-year MACE. Compared to RA, OA and IVL are cost-effective approaches, but this is substantially dependent on the reimbursement system of the particular country. There is no standard method of CAC modification; therefore, a tailor-made approach is required.

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Section: Intravascular Imaging In Ra Oa and Ivlmentioning

confidence: 99%

Rotational Atherectomy, Orbital Atherectomy, and Intravascular Lithotripsy Comparison for Calcified Coronary Lesions

Florek,

Bartoszewska,

Biegała

et al. 2023

JCM

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Contemporary approach to heavily calcified lesions: tools of the trade, challenges, and pitfalls

Russo,

Massaro,

Benedetto

et al. 2024

Vessel Plus

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Coronary artery calcifications (CAC) affect more than 90% of men and more than 67% of women older than 70; the spread is mainly due to the high occurrence of major cardiovascular risk factors. The presence of CAC can be detected by several noninvasive and invasive methods like computed tomography (CT), coronary angiography (CA), Intravascular Ultrasound (IVUS), and Optical Coherence Tomography (OCT), with each system providing different information that can be used in the treatment strategy of CAC. Several devices can modify calcium during PCI: high-pressure non-compliant balloons, cutting/scoring balloons, atheroablative technologies, and intravascular Lithotripsy (IVL). Each technique has advantages and disadvantages that every interventional cardiologist should know to perform an optimal PCI and to achieve the best result and clinical outcome. This is a narrative review that aims to illustrate the contemporary management of CAC, focusing on the available techniques to assess calcifications and their novel advancements and explaining the existing tools to treat CAC with a focus on their significant challenges and pitfalls.

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Outcomes of Intravascular Imaging in Orbital Atherectomy; Insight From the National Readmissions Database

Cited by 2 publications

References 11 publications

Rotational Atherectomy, Orbital Atherectomy, and Intravascular Lithotripsy Comparison for Calcified Coronary Lesions

Rotational Atherectomy, Orbital Atherectomy, and Intravascular Lithotripsy Comparison for Calcified Coronary Lesions

Contemporary approach to heavily calcified lesions: tools of the trade, challenges, and pitfalls

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