title: Safety and efficacy of elective stent implantation following rotational atherectomy in large calcified coronary arteries.
abstract: Rotational atherectomy is an effective transcatheter therapy for calcified coronary lesions. In large (> 3-mm) calcified coronary arteries, stent implantation following rotational atherectomy may further improve acute and especially, long-term benefit. To determine the safety and efficacy of this device synergy approach, we studied 24 consecutive patients undergoing this procedure electively in native coronary arteries. Procedural success was achieved in 100% without any major ischemic complications. There was also no incidence of subacute thrombosis or cardiac event during 30-day follow-up period. Thus, we conclude that elective stent implantation following rotational atherectomy in large, calcified coronary arteries is safe and results in excellent clinical benefit up to 30 days.
authors.affiliation: Department of Internal Medicine, Washington Hospital Center, Washington, DC, USA.
authors.forename: M K
authors.initials: MK
authors.lastname: Hong
authors.forename: G S
authors.initials: GS
authors.lastname: Mintz
authors.forename: J J
authors.initials: JJ
authors.lastname: Popma
authors.forename: K M
authors.initials: KM
authors.lastname: Kent
authors.forename: A D
authors.initials: AD
authors.lastname: Pichard
authors.forename: L F
authors.initials: LF
authors.lastname: Satler
authors.forename: C
authors.initials: C
authors.lastname: Wong
authors.forename: A
authors.initials: A
authors.lastname: Brahimi
authors.forename: T
authors.initials: T
authors.lastname: Bucher
authors.forename: M B
authors.initials: MB
authors.lastname: Leon
mesh_terms: D000368:Aged; D017225:Atherectomy, Coronary; D002114:Calcinosis / Q000175:diagnosis / Q000628:therapy*; D015331:Cohort Studies; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional