Chambers et al. compared the 30-day outcomes of percutaneous coronary intervention (PCI) of calcified lesions ( n = 145) and calcified bifurcation ( n = 72) treated by either rotational atherectomy (RA, n = 39) or orbital atherectomy (OA, n = 33). Both devices yielded similar excellent 30-day major adverse cardiac events (MACE) rates: 0% and 3% respectively. While the efficacy and safety of OA and RA-based stenting were equally impressive, OA-based PCIs was associated with reduced fluoroscopy time, procedure time and contrast volume. The manuscript creates the impression PCI of calcified bifurcations employing RA or OA can be as safe and effective as calcified non-bifurcation lesions.
Cardiovascular Revascularization Medicine, 2019-07-01, Volume 20, Issue 7, Pages 539-541, Copyright © 2019 Elsevier Inc.
Read the full article on Science Direct: Orbital and Rotational Atherectomy in Calcified Bifurcations: A Walk in the Park?