Clinical outcomes of rotational atherectomy followed by drug-eluting stenting via the transradial approach for the treatment of heavily calcified coronary lesions
10.3760/cma.j.issn.0253-3758.2013.06.005
- VernacularTitle:经桡动脉行冠状动脉斑块旋磨术和药物洗脱支架置入术治疗严重钙化病变的效果
- Keywords:
Coronary disease;
Calcinosis;
Heart catheterization;
Radial artery
- From:
Chinese Journal of Cardiology
2013;41(6):462-465
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical outcomes of rotational atherectomy followed by drugeluting stenting via the transradial approach for the treatment of heavily calcified coronary lesions.Methods From January2009 to October 2012,114 consecutive patients with heavily calcified coronary lesions underwent rotational atherectomy and drug-eluting stents via transradial approach in our hospital were enrolled in this retrospective study.Characteristics of heavily calcified coronary lesions,the success rates of rotational atherectomy and stenting,rates of complication during perioperation treatments,and adverse cardiovascular events during hospitalization and follow up were analyzed.Results All 114 patients were successfully treated with rotational atherectomy and drug-eluting stent placement,and totally 120 target lesions of type B or C were treated including 8 left main lesions,93 left anterior descending and 2 circumflex,17 right coronary lesions.No-refiow was observed in 7 patients during the procedure,there was one case of entrapped rotablator burr which was successfully retrieved together with guiding catheter without serious complication.During the 6 months (median) follow-up,angina was reported in 11 patients and revascularization was performed in 8 patients due to stent restenosis and intensified medical therapy was applied in 3 patients.There was no acute myocardial infarction and death during follow-up.Conclusion Rotational atherectomy followed by drug-eluting stenting via transradial approach is feasible,effective and safe and the short-term outcome is satisfactory for patients with heavily calcified coronary lesions.
