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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.
Abstract:
The interest in rotational atherectomy (RA) has increased over the past decade as a consequence of more complex and calcified coronary stenoses being attempted with percutaneous coronary interventions. Yet adoption of RA is hampered by several factors: amongst others, by the lack of a standardised protocol. This European expert consensus document stems from the awareness of the large heterogeneity in the protocols adopted to perform rotational atherectomy. The objective of the present document is to provide some points of consensus among highly experienced operators on the most controversial steps of RA in an attempt to build the basis of a standardised and universally accepted protocol.
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