title: Rotational atherectomy or balloon angioplasty in the treatment of intra-stent restenosis: BARASTER multicenter registry.
abstract: The BARASTER registry was formed to evaluate the initial success and long-term results of rotational atherectomy in the management of in-stent restenosis. Rotational atherectomy was used in 197 cases of in-stent restenosis: 46 with stand-alone rotational atherectomy or at most 1 atmosphere of balloon inflation (Rota strategy), and 151 with rotational atherectomy and adjunctive balloon angioplasty <1 atmosphere (Combination strategy). These were compared with 107 episodes of in-stent restenosis treated with balloon angioplasty alone. In this observational study, the use of Combination therapy was associated with a slightly higher initial success rate (95% vs. 87% with the Rota strategy and 89% with Balloons, P = 0.08). There was a reduction in one year clinical outcomes (death, myocardial infarction or target lesion revascularization) in the combination group (38% vs. 60% with Rota and 52% with balloons, P = 0.02). These data support a benefit of the strategy of debulking with rotational atherectomy followed by adjunctive balloon angioplasty, in the management of in-stent restenosis.
authors: Harbor-UCLA Medical Center, Torrance, California, USA. Stevgold99@aol.com
authors: S L
authors: SL
authors: Goldberg
authors: P
authors: P
authors: Berger
authors: D J
authors: DJ
authors: Cohen
authors: F
authors: F
authors: Shawl
authors: M
authors: M
authors: Buchbinder
authors: R
authors: R
authors: Fortuna
authors: W
authors: W
authors: O'Neill
authors: M
authors: M
authors: Leon
authors: G A
authors: GA
authors: Braden
authors: P S
authors: PS
authors: Teirstein
authors: M
authors: M
authors: Reisman
authors: S R
authors: SR
authors: Bailey
authors: H L
authors: HL
authors: Dauerman
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authors: Bowers
authors: R
authors: R
authors: Mehran
authors: A
authors: A
authors: Colombo
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017225:Atherectomy, Coronary; D003327:Coronary Disease / Q000401:mortality / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012042:Registries; D019233:Retreatment; D015607:Stents; D015996:Survival Rate; D016896:Treatment Outcome