Calcific Lesion Interventions



Procedural inability to deploy stents was shown to be more frequent in patients with calcified lesions than in those with noncalcified lesions (8.2 % vs 1.8 %, respectively) [1, 2]. Optimal stent delivery and apposition in these calcified lesions mandate adequate debulking.


Calcify Lesion Rotational Atherectomy Burr Size Control Knob Atherectomy Device 
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  1. 1.
    Hoffmann R, et al. Treatment of calcified coronary lesions with Palmaz-Schatz lesions. An intravascular ultrasound study. Eur Heart J. 1998;19(8):1224–31.PubMedCrossRefGoogle Scholar
  2. 2.
    Tan K, Sulke N, Taub N, Sowton E. Clinical and lesion morphologic determinants of coronary angioplasty success and complications: current experience. J Am Coll Cardiol. 1995;25(4):855–65.PubMedCrossRefGoogle Scholar
  3. 3.
    Kini A, Marmur JD, Duvvuri S. Rotational atherectomy: improved procedural outcome with evolution of technique and equipment. Single-center results of first 1,000 patients. Catheter Cardiovasc Interv. 1999;46(3):305–11.Google Scholar
  4. 4.
    Dehmer GJ, Weaver D, Roe MT, Milford-Beland S, Fitzgerald S, Hermann A, Messenger J, Moussa I, Garratt K, Rumsfeld J, Brindis RG. A contemporary view of diagnostic cardiac catheterization and percutaneous coronary intervention in the United States: a report from the CathPCI Registry of the National Cardiovascular Data Registry, 2010 through June 2011. J Am Coll Cardiol. 2012;60(20):2017–31. doi: 10.1016/j.jacc.2012.08.966. Epub 2012 Oct 17. PubMed PMID: 23083784.PubMedCrossRefGoogle Scholar
  5. 5.
    Tomey MI, Kini AS, Sharma SK. Current status of rotational atherectomy. JACC Cardiov Interv. 2014;7(4):345–53.CrossRefGoogle Scholar
  6. 6.
    Ahn SS, Auth D, Marcus DR, Moore WS. Removal of focal atheromatous lesions by angioscopically guided high-speed rotary atherectomy. Preliminary experimental observations. J Vasc Surg. 1988;7:292–300.PubMedCrossRefGoogle Scholar
  7. 7.
    Sharma SK, Kini A, Mehran R, Lansky A, Kobayashi Y, Marmur JD. Randomized trial of rotational atherectomy versus balloon angioplasty for diffuse in-stent restenosis (ROSTER). Am Heart J. 2004;147(1):16–22.Google Scholar
  8. 8.
    Parikh K, Chandra P, Choksi N, Khanna P, Chambers J. Safety and feasibility of orbital atherectomy for the treatment of calcified coronary lesions: the ORBIT I trial. Catheter Cardiovasc Interv. 2013;81:1134–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Okura H, et al. Mechanisms of acute lumen gain following cutting balloon angioplasty in calcified and noncalcified lesions: an intravascular ultrasound study. Catheter Cardiovasc Interv. 2002;57:429–36.PubMedCrossRefGoogle Scholar
  10. 10.
    Brown R, Kochar G, Maniet AR, Banka VS. Effects of coronary angioplasty using progressive dilation on ostial stenosis of the left anterior descending artery. Am J Cardiol. 1993;71:245–7.PubMedCrossRefGoogle Scholar
  11. 11.
    Inoue T, et al. Lower expression of neutrophil adhesion molecule indicates less vessel wall injury and might explain lower restenosis rate after cutting balloon angioplasty. Circulation. 1998;97:2511–8.Google Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Department of Interventional CardiologyMount Sinai HospitalNew YorkUSA

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