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Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular

Kenichi Sakakura1, Yoshiaki Ito2, Yoshisato Shibata3

  • 1Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya, Saitama, 330-8503, Japan. ksakakura@jichi.ac.jp.

Cardiovascular Intervention and Therapeutics
|January 15, 2023
PubMed

Insights

This updated expert consensus document provides the latest techniques and evidence for rotational atherectomy (RA). It addresses the hottest topic in percutaneous coronary intervention (PCI): revascularization strategies for severely calcified lesions.

Area of Science:

  • Cardiovascular Intervention
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • Percutaneous coronary intervention (PCI) faces challenges with severely calcified lesions.
  • Rotational atherectomy (RA) is a key technique for treating complex coronary artery disease.
  • Previous expert consensus on RA was published in 2020.

Purpose of the Study:

  • To update the expert consensus document on rotational atherectomy (RA).
  • To incorporate the latest evidence and advancements in RA techniques.
  • To guide the revascularization strategy for severely calcified coronary lesions.

Main Methods:

  • Literature review of recent studies on rotational atherectomy.
  • Analysis of new evidence published since 2020.
  • Expert consensus development based on current data.

Main Results:

  • Significant advancements in RA techniques and devices have emerged.
  • New evidence supports RA as a crucial tool for complex PCI.
  • Updated guidelines reflect contemporary best practices for RA.

Conclusions:

  • Rotational atherectomy remains a vital modality for treating calcified coronary lesions.
  • This updated consensus provides current guidance for interventional cardiologists.
  • Adoption of latest RA advancements can improve PCI outcomes.

Keywords:
CalcificationIntravascular ultrasoundOptical coherence tomographyPercutaneous coronary interventionRotational atherectomy

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