European expert consensus on rotational atherectomy

Emanuele Barbato1, Didier Carrié, Petros Dardas

  • 1Cardiovascular Center Aalst OLV Clinic, Aalst, Belgium.

Insights

Rotational atherectomy (RA) use is growing for complex coronary stenoses. This document provides expert consensus to standardize RA protocols, addressing current practice heterogeneity for better adoption.

Area of Science:

  • Cardiovascular Interventions
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • Increasing complexity of coronary artery disease necessitates advanced interventions.
  • Rotational atherectomy (RA) is crucial for treating complex and calcified coronary stenoses.
  • Heterogeneity in current RA protocols hinders widespread adoption and optimal outcomes.

Framework:

  • European expert consensus on rotational atherectomy (RA) procedures.
  • Addresses controversial aspects of RA technique and management.
  • Aims to establish a foundation for a standardized RA protocol.

Implementation:

  • Focuses on consensus points from highly experienced interventional cardiologists.
  • Provides guidance on critical and debated steps in RA.
  • Facilitates the development of a universally accepted RA protocol.

Implications:

  • Standardized RA protocols can improve procedural safety and efficacy.
  • Enhanced adoption of RA for complex coronary lesions.
  • Potential for improved patient outcomes in interventional cardiology.