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


Rotational atherectomy: you will never regret using it but you often regret not having used it!

EuroIntervention 2016;12:1441-1442. DOI: 10.4244/EIJV12I12A237

1. Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy; 2. Cardiovascular Research Center Aalst, Aalst, Belgium

Rotational atherectomy (RA) was introduced nearly 30 years ago in order to remove coronary atheroma by “debulking” as opposed to conventional plain old balloon angioplasty (POBA) that was meant to enlarge the lumen by displacing the plaque1. The initial enthusiasm around RA was quickly replaced by scepticism following the short-term and midterm results which were far below expectations2.

Percutaneous coronary intervention (PCI) with RA, in fact, was not infrequently characterised by procedural complications (such as large dissections, no-reflow, etc.) and a high restenosis rate (up to 50% in some instances)1. The suboptimal procedural results observed in these early experiences were ...

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