Buono A, Basavarajaiah S, Choudhury A, Lee L, Bhatia G, Hailan A, Sharma V, Upadhyaya S, Naneishvili T, Ielasi A. "RotaTripsy" for severe calcified coronary artery lesions: Insights from a real-world multicenter cohort.
CARDIOVASCULAR REVASCULARIZATION MEDICINE 2021;
37:78-81. [PMID:
34244087 DOI:
10.1016/j.carrev.2021.06.132]
[Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 06/30/2021] [Accepted: 06/30/2021] [Indexed: 01/04/2023]
Abstract
OBJECTIVES
The aim of this study is to assess the feasibility, efficacy and safety of the "RotaTripsy" approach in severe calcified coronary artery lesions.
BACKGROUND
Coronary lesions with a high calcium content represent a challenging scenario in interventional cardiology, requiring a proper lesion preparation. In this light, very little is known about the possibility to combine the benefits of rotational atherectomy and intravascular lithotripsy.
METHODS
We retrospectively enrolled 34 patients from a real-word, multicenter, cohort of patients affected by severe calcified coronary artery lesions, which required the "RotaTripsy" to obtain a proper lesion preparation. In all the cases, rotational atherectomy and then intravascular lithotripsy were performed as a bail-out strategy following sub-optimal non-compliant balloon expansion. In 53% of the cases, the procedure was guided by intracoronary imaging findings.
RESULTS
Procedural success was reported in all the cases, without any in-hospital major complication. Few major adverse clinical events were reported at mid-term follow-up.
CONCLUSIONS
"RotaTripsy" can represent a valid therapeutic option for undilatable heavily calcified coronary artery lesions. Our findings demonstrate the feasibility, safety and efficacy of this approach.
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