Comparison of rotational and orbital atherectomy for the treatment of calcific coronary lesions: Insights from the VA clinical assessment reporting and tracking (CART) program
Catheterization and Cardiovascular Interventions Feb 19, 2021
Barrett C, Warsavage T, Kovach C, et al. - Researchers herein compared the safety as well as efficacy of rotational atherectomy (RA) vs orbital atherectomy (OA) for the treatment of coronary artery calcification (CAC). Using the Veterans Affairs Healthcare System, they identified patients who received PCI of a native coronary lesion with RA or OA from 2014 to 2018. In a propensity‐matched cohort comprising 950 patients, major adverse cardiovascular and cerebrovascular events did not differ significantly between patients who underwent RA or OA. Overall, findings demonstrated the effectiveness as well as safety of both rotational and orbital atherectomy for the treatment of calcified coronary plaque before stent deployment. Both modalities had similarly low rates of peri‐procedural adverse events.
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