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RotaRadial: First Use of Rotational Atherectomy as a Bailout Strategy for Severely Calcified Radial Access
Claudiu Ungureanu1, Grigorios Tsigkas2, Quentin Trefois1
1Cardiovascular Department, Jolimont Hospital, La Louvière, Belgium.
JACC. Case Reports
|March 25, 2026
Summary
Severe radial artery calcification can impede percutaneous coronary intervention. Rotational atherectomy within the radial artery (radial rotational atherectomy) offers a bailout strategy to enable device advancement when conventional methods fail.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Access
Background:
- Radial artery access is preferred for percutaneous coronary intervention (PCI).
- Severe radial artery calcification poses a challenge to sheath and catheter advancement.
- Patients with diffuse peripheral artery disease are particularly susceptible to access complications.
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