Coronary rotational atherectomy in patients with unsuccessful classical angioplasty –  in-hospital and six-month follow-up

Marcin Wojtczak; Piotr Kubler; Mirosław Ferenc; Ewa A. Jankowska; Artur Telichowski; Wojciech Zimoch; Waldemar Banasiak; Piotr Ponikowski; Krzysztof Reczuch

doi:10.5114/pwki.2012.29648

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Coronary rotational atherectomy in patients with unsuccessful classical angioplasty – in-hospital and six-month follow-up

Marcin Wojtczak

,

Piotr Kubler

,

Mirosław Ferenc

,

Ewa A. Jankowska

,

Artur Telichowski

,

Wojciech Zimoch

,

Waldemar Banasiak

,

Piotr Ponikowski

,

Krzysztof Reczuch

Postep Kardiol Inter 2012; 8, 2 (28): 85–90

DOI: https://doi.org/10.5114/pwki.2012.29648

Online publish date: 2012/07/17

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AMA

Wojtczak M, Kubler P, Ferenc M, et al. Coronary rotational atherectomy in patients with unsuccessful classical angioplasty –  in-hospital and six-month follow-up. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2012;8(2):85-90. doi:10.5114/pwki.2012.29648.

APA

Wojtczak, M., Kubler, P., Ferenc, M., Jankowska, E., Telichowski, A.,  & Zimoch, W. et al. (2012). Coronary rotational atherectomy in patients with unsuccessful classical angioplasty –  in-hospital and six-month follow-up. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 8(2), 85-90. https://doi.org/10.5114/pwki.2012.29648

Chicago

Wojtczak, Marcin, Piotr Kubler, Mirosław Ferenc, Ewa A. Jankowska, Artur Telichowski, Wojciech Zimoch,  and Waldemar Banasiak et al. 2012. "Coronary rotational atherectomy in patients with unsuccessful classical angioplasty –  in-hospital and six-month follow-up". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 8 (2): 85-90. doi:10.5114/pwki.2012.29648.

Harvard

Wojtczak, M., Kubler, P., Ferenc, M., Jankowska, E., Telichowski, A., Zimoch, W., Banasiak, W., Ponikowski, P.,  and Reczuch, K. (2012). Coronary rotational atherectomy in patients with unsuccessful classical angioplasty –  in-hospital and six-month follow-up. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 8(2), pp.85-90. https://doi.org/10.5114/pwki.2012.29648

MLA

Wojtczak, Marcin et al. "Coronary rotational atherectomy in patients with unsuccessful classical angioplasty –  in-hospital and six-month follow-up." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 8, no. 2, 2012, pp. 85-90. doi:10.5114/pwki.2012.29648.

Vancouver

Wojtczak M, Kubler P, Ferenc M, Jankowska E, Telichowski A, Zimoch W et al. Coronary rotational atherectomy in patients with unsuccessful classical angioplasty –  in-hospital and six-month follow-up. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2012;8(2):85-90. doi:10.5114/pwki.2012.29648.

Background: The data regarding follow-up of high-risk patients after coronary rotational atherectomy (RA) are poor.

Aim: The aim of this study was to evaluate the in-hospital and 6-month outcome of patients with uncrossable or undilatable lesions who were treated with RA.

Material and methods: The RA was performed in 62 consecutive patients (mean EuroSCORE: 6.8 ±4) and all of them were enrolled. Major adverse cardiac events (MACE) were defined as all-cause death, cardiac death, stroke, myocardial infarction (MI), target lesion revascularization (TLR), and target vessel revascularization (TVR).

Results: The procedural success rate was 94%. The incidence of MACE was 9.7% in hospital (6 MIs, 3 of them with signs of ischemia) and 9.7% at 6-month follow-up (2 deaths, 3 MIs, 1 TLR). Death occurred in 2 patients (3%): due to definite stent thrombosis, and because of acute heart failure in a patient with low ejection fraction (EF).

Conclusions: In this very high risk population RA provides good outcomes with relatively low risk of MACE.

keywords:

Coronary rotational atherectomy in patients with unsuccessful classical angioplasty – in-hospital and six-month follow-up

Marcin Wojtczak , Piotr Kubler , Mirosław Ferenc , Ewa A. Jankowska , Artur Telichowski , Wojciech Zimoch , Waldemar Banasiak , Piotr Ponikowski , Krzysztof Reczuch

percutaneous coronary interventions, highly calcified coronary lesions, rotational atherectomy

Marcin Wojtczak

,

Piotr Kubler

,

Mirosław Ferenc

,

Ewa A. Jankowska

,

Artur Telichowski

,

Wojciech Zimoch

,

Waldemar Banasiak

,

Piotr Ponikowski

,

Krzysztof Reczuch