The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Rotational atherectomy and the myth of Sisyphus

EuroIntervention 2020;16:e269-e272. DOI: 10.4244/EIJV16I4A45

1. Interventional Cardiology Unit, Department of Cardiology. Hospital de la Santa Creu i Sant Pau, University of Barcelona, Barcelona, Spain

Rotational atherectomy (RA) was invented by David Auth more than 30 years ago with the aim of improving the results of plain old balloon angioplasty (POBA) by plaque removal or “debulking” instead of disrupting and compressing coronary atheroma. The mechanism of RA is “differential cutting”, selectively ablating non-compliant atheromatous tissue (fibrotic or calcified), while elastic vascular tissue is spared by the Rotablator™ (Boston Scientific, Marlborough, MA, USA) burr. Since the first RA application in human coronary arteries in 1988, RA has become the embodiment of the myth of Sisyphus, who was punished by being made to ...

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