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Related Experiment Videos

Rotablator plus stent therapy (rotastent).

J M Lasala1, M Reisman

  • 1Washington University School of Medicine, Department of Internal Medicine, St. Louis, MO 63110-1093, USA.

Current Opinion in Cardiology
|March 26, 1999
PubMed
Summary
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Rotational atherectomy combined with stent implantation is used in complex coronary lesions. The upcoming SPORT trial will evaluate this combination in a prospective, multicenter randomized study.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Over 400,000 percutaneous transluminal coronary angioplasties (PTCAs) are performed annually in the US.
  • Rotational atherectomy is used in approximately 10% of PTCAs.
  • Stent placement rates are increasing, reaching up to 75% in some centers.

Purpose of the Study:

  • To review the literature on rotational atherectomy and stent implantation for complex coronary lesions.
  • To describe the upcoming Stent Implantation, Postrotational Atherectomy (SPORT) trial.

Main Methods:

  • Literature review of rotational atherectomy and stent implantation.
  • Description of the SPORT trial design: prospective, multicenter, randomized.

Main Results:

Related Experiment Videos

  • The combination of rotational atherectomy and intra-coronary stent placement accounts for 2% to 7.5% of US interventional procedures annually.
  • Existing literature on this combination for complex lesions is reviewed.

Conclusions:

  • The SPORT trial aims to provide further evidence on the efficacy and safety of rotational atherectomy followed by stent implantation for complex coronary lesions.