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Prevalence, Presentation and Treatment of 'Balloon Undilatable' Chronic Total Occlusions: Insights from a Multicenter US Registry

Original Research | By Tajti P, Karmpaliotis D, Alaswad K et al.

Background - The prevalence, treatment and outcomes of balloon undilatable chronic total occlusions (CTOs) have received limited study. Methods - We examined the prevalence, clinical and angiographic characteristics, and procedural outcomes of percutaneous coronary interventions (PCIs) for balloon undilatable CTOs in a contemporary multicenter US registry. Results - Between 2012 ...

Short-term and long-term clinical outcomes of rotational atherectomy in resistant chronic total occlusion

Clinical Trial | By Huang WC, Teng HI, Chan WL et al.

OBJECTIVES - To evaluate the short- and long-term clinical outcomes of RA in CTO coronary intervention. BACKGROUND - The application of rotational atherectomy (RA) may improve the success rate of percutaneous recanalization of chronic total occlusion (CTO) with heavy calcification. METHODS - From January 2011 to September 2014, we...

Rotational atherectomy in the subadventitial space to allow safe and successful chronic total occlusion recanalization: Pushing the limit further

Original Research | By Huang WC, Teng HI, Chan WL et al.

Dissection and re-entry (DR) techniques have played a key role in the increase of success rates of chronic total occlusion (CTO) recanalization. DR usually allows wiring complex occlusions, even in case of important calcification. In extreme cases, such as in balloon failure-to-cross, rotational atherectomy (RA) might be decisive. However, according to experts' recommendations, RA should not be performed in dissection planes bec...

A Meta-Analysis of Contemporary Lesion Modification Strategies During Percutaneous Coronary Intervention in 244,795 Patients From 22 Studies

Review Article | By Danek BA, Karatasakis A, Brilakis ES et al.

OBJECTIVES - Outcomes with use of lesion-modification strategies in the drug-eluting stent era have received limited study. METHODS - We conducted a meta-analysis of 22 studies published between 2004-2016 reporting outcomes after use of rotational atherectomy, cutting-balloon, and scoring-balloon angioplasty. RESULTS - In observational trials, acute luminal gain w...

The Current State of Left Main Percutaneous Coronary Intervention

Review Article | By Avula HR, Rassi AN

PURPOSE OF REVIEW - While coronary artery bypass grafting (CABG) remains the standard of care, advances in stenting technology and procedural technique are changing the role of percutaneous coronary intervention (PCI) in the treatment of severe left main coronary artery (LMCA) disease. We review contemporary evidence comparing PCI and CABG for the treatment of severe LMCA disease, discuss op...

Current treatment of significant left main coronary artery disease: A review

Review Article | By Akodad M, Morice MC

Though infrequent, left main stenosis has a major prognostic impact. The management of left main disease has evolved over the last few decades with the growing evidence of the efficacy and safety of percutaneous interventions, as attested by the most recent trials. However, mastery of the technical aspects of left main bifurcation stenting is essential in ensuring optimal results. Th...

Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016

Original Research | By GBD 2016 Causes of Death Collaborators

BACKGROUND - Monitoring levels and trends in premature mortality is crucial to understanding how societies can address prominent sources of early death. The Global Burden of Disease 2016 Study (GBD 2016) provides a comprehensive assessment of cause-specific mortality for 264 causes in 195 locations from 1980 to 2016. This assessment includes evaluation of the expected epidemiological transition with changes in developmen...

Clinical Characteristics and Long-Term Outcomes of Rotational Atherectomy-J2T Multicenter Registry

Clinical Trial | By Okai I, Dohi T, Okazaki S et al.

BACKGROUND - Rotational atherectomy (RA) is an adjunct tool for the management of heavily calcified coronary lesions during percutaneous coronary intervention (PCI), but the long-term clinical outcomes of RA use remain unclear in this drug-eluting stent era. Methods and Results:This multi-center registry assessed the characteristics and outcomes of patients treated by RA for calcified ...

Long-term outcomes of rotational atherectomy of underexpanded stents. A single center experience

Original Research | By Hernández-Enríquez M, Campelo-Parada F, Lhermusier T et al.

OBJECTIVES - To analyze the procedural and long-term outcomes of the use of rotational atherectomy (RA) in underexpanded stents in our cohort and to provide an overview of currently available data on this technique. BACKGROUND - Stent underexpansion (SU) has been related to stent thrombosis and restenosis. RA has been used to treat undilatable SU as a bail-out strategy with encouraging results...

Optical frequency-domain imaging findings to predict good stent expansion after rotational atherectomy for severely calcified coronary lesions

Original Research | By Kobayashi N, Ito Y, Yamawaki M et al.

We aimed to evaluate the optical frequency-domain imaging (OFDI) findings after rotational atherectomy (RA) that predict good stent expansion for severely calcified coronary lesions. Fifty consecutive calcified lesions were subjected to RA under OFDI guidance. We performed OFDI just after RA and stenting. We measured the morphology of calcium after RA, and assessed how these factors influence stent expansion. T...

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Original Research 785
Review Article 294
Clinical Case Study 28
Clinical Trial 415
Perspective 9
Guideline 50

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2018 8
2017 2

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Trends Cardiovasc Med. 1
Lancet 1
J Invasive Cardiol. 1
J Interv Cardiol. 2
Int J Cardiovasc Imaging. 1
Curr Atheroscler Rep. 1
Circ J. 1
Catheter Cardiovasc Interv. 2

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