Rotational atherectomy: A "survivor" in the drug-eluting stent era

被引：26
作者：
Zimarino, Marco [1 ,2 ]
Corcos, Thierry [3 ]
Bramucci, Ezio [4 ]
Tamburino, Corrado [5 ,6 ]
机构：
[1] Univ G dAnnunzio, Osped SS Annunziata, Inst Cardiol, Via Vestini, I-66013 Chieti, Italy
[2] Univ G dAnnunzio, Ctr Excellence Aging, Chieti, Italy
[3] Amer Hosp Paris, Dept Cardiol, Neuilly Sur Seine, France
[4] Policlin San Matteo, Div Cardiol, Pavia, Italy
[5] Univ Catania, Osped Ferrarotto, Inst Cardiol, Catania, Italy
[6] ETNA Fdn, Catania, Italy
来源：
CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2012年 / 13卷 / 03期
关键词：
Percutaneous coronary intervention; Rotational atherectomy; Calcified coronary lesions; Stent; In-stent restenosis;
D O I：
10.1016/j.carrev.2012.03.002
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Mechanical debulking of coronary plaques with rotational atherectomy (RA) has been used for more than 20 years during percutaneous coronary interventions (PCI). Modification of plaque characteristics may be accomplished with selective ablation of inelastic fibrocalcific tissue. The use of RA, though reduced with the development of bare-metal stents (BMS) and even more with drug-eluting stents (DES), has never been completely abandoned. The present review will analyze reasons for conflicting results obtained in large series and randomized trials on this topic in the past, and will identify criteria for an appropriate use in current times. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码：185 / 192
页数：8
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