title: Complex coronary lesions and rotational atherectomy: one hospital's experience.
abstract: OBJECTIVE
  To evaluate the safety and effectiveness of rotational atherectomy followed by drug eluting stent (DES) implantation in patients with complex coronary lesions.
  
  
  METHODS
  From August 2006 to August 2012, 253 consecutive patients with 289 lesions and who underwent rotational atherectomy in our center were enrolled in this study.
  
  
  RESULTS
  The overall procedure success rate was 98% with the cost of two (0.8%) coronary perforations, three (1.2%) dissections, five (2.0%) slow flows or no flows, three (1.2%) peri-procedure myocardial infarctions, and two (0.8%) in hospital deaths. During follow-up (mean three years), one (0.4%) patient died, two (0.8%) patients had acute myocardial infarction, 14 (5.5%) had restenosis, and target lesion revascularization occurred in eight patients (3.2%).
  
  
  CONCLUSIONS
  Rotational atherectomy followed by DES implantation is a safe and effective technique for patients with complex coronary lesions, especially calcified and non-dilatable lesions.
authors: Department of Cardiology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.
authors: Jun
authors: J
authors: Jiang
authors: Yong
authors: Y
authors: Sun
authors: Mei-xiang
authors: MX
authors: Xiang
authors: Liang
authors: L
authors: Dong
authors: Xian-bao
authors: XB
authors: Liu
authors: Xin-yang
authors: XY
authors: Hu
authors: Yan
authors: Y
authors: Feng
authors: Jian-an
authors: JA
authors: Wang
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods; D001241:Aspirin / Q000627:therapeutic use; D017225:Atherectomy, Coronary / Q000379:methods*; D002309:Cardiology / Q000379:methods*; D000077144:Clopidogrel; D015897:Comorbidity; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000628:therapy*; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015641:Radiography, Interventional / Q000379:methods; D012189:Retrospective Studies; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin