"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 Naneishvili, Tamara Ielasi, Alfonso
Buono, Andrea
Basavarajaiah, Sandeep
Choudhury, Anirban
Lee, Leong
Bhatia, Gurbir
Hailan, Ahmed
Sharma, Vinoda
Naneishvili, Tamara
Ielasi, Alfonso
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Affiliation
Clinical and Interventional Cardiology Unit, Istituto Clinico Sant'Ambrogio; University Hospitals Birmingham NHS Foundation Trust; Morriston Cardiac Centre; Sandwell and West Birmingham NHS Trust
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Publication date
2021-07-02
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Abstract
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.
Citation
Buono, A., Basavarajaiah, S., Choudhury, A., Lee, L., Bhatia, G., Hailan, A., Sharma, V., Upadhyaya, S., Naneishvili, T., & Ielasi, A. (2022). "RotaTripsy" for Severe Calcified Coronary Artery Lesions: Insights From a Real-World Multicenter Cohort. Cardiovascular revascularization medicine : including molecular interventions, 37, 78–81.
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Article