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"RotaTripsy" for Severe Calcified Coronary Artery Lesions: Insights From a Real-World Multicenter Cohort.
Buono, Andrea; Basavarajaiah, Sandeep; Choudhury, Anirban; Lee, Leong; Bhatia, Gurbir; Hailan, Ahmed; Sharma, Vinoda; Upadhyaya, Subramanya; Naneishvili, Tamara; Ielasi, Alfonso.
Afiliación
  • Buono A; Clinical and Interventional Cardiology Unit, Istituto Clinico Sant'Ambrogio, Gruppo Ospedaliero San Donato, Milan, Italy.
  • Basavarajaiah S; Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust Birmingham, UK.
  • Choudhury A; Morriston Cardiac Centre, Swansea, UK.
  • Lee L; Birmingham City Hospital, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
  • Bhatia G; Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust Birmingham, UK.
  • Hailan A; Morriston Cardiac Centre, Swansea, UK.
  • Sharma V; Birmingham City Hospital, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
  • Upadhyaya S; Birmingham City Hospital, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
  • Naneishvili T; Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust Birmingham, UK.
  • Ielasi A; Clinical and Interventional Cardiology Unit, Istituto Clinico Sant'Ambrogio, Gruppo Ospedaliero San Donato, Milan, Italy. Electronic address: alielasi@hotmail.com.
Cardiovasc Revasc Med ; 37: 78-81, 2022 04.
Article en En | MEDLINE | ID: mdl-34244087
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Aterectomía Coronaria / Calcificación Vascular Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: Cardiovasc Revasc Med Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Aterectomía Coronaria / Calcificación Vascular Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: Cardiovasc Revasc Med Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos