Safety and efficacy of rotational atherectomy followed by drug-eluting stenting for treating patients with heavily calcified coronary lesions
10.3760/cma.j.issn.0253-3758.2013.06.004
- VernacularTitle:冠状动脉斑块旋磨术联合药物洗脱支架置入术治疗冠状动脉严重钙化病变的安全性和有效性
- Keywords:
Coronary disease;
Calcinosis;
Heart catheterization
- From:
Chinese Journal of Cardiology
2013;41(6):457-461
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of rotational atherectomy followed by drug-eluting stent implantation for treating patients with heavily calcified coronary lesions.Methods From March 1,2010 to September 1,2012,65 cases with 78 heavily calcified coronary lesions which were treated with rotational atherectomy followed by drug-eluting stent implantation in Peking University People's Hospital were included,and 36 cases also underwent intravascular ultrasound to guide the rotational atherectomy procedure and drug-eluting stent implantation.All patients were followed up in hospital and post discharge.Procedure parameters,complications and major adverse cardiovascular events (cardiac death,non-fatal myocardial infarction,percutaneous coronary intervention related myocardial infarction,target vessel revascularization,recurrent angina,intra-stent restenosis and stent thrombosis) were analyzed.Results Direct rotational atherectomy was performed in 64.6％ (42/65) patients,rescued rotational atherectomy in 35.4％ (23/65) patients,drug-eluting stents implantation was applied to all cases after rotational atherectomy.The immediate procedural success rate was 100％ (78/78).The average burr/artery ratio was 0.50 ±0.04,the average number of burr used per case was 1.15 ±0.36.The average burr/artery ratio was 0.52±0.03 and the average number of burr used per cases was 1.19 ±0.40 in 36 cases guided with intravascular ultrasound.Five cases (7.7％) developed complications and were treated accordingly during procedure with satisfactory results.The incidence of major adverse cardiovascular events was 13.8％ (9/65) during (17.6 ± 8.5) months follow-up.Conclusion Rotational atherectomy followed by drug-eluting stent implantation is a safe and efficient technique for treating heavily calcified coronary lesions.
