Coronary Lithotripsy as Elective or Bail-Out Strategy After Rotational Atherectomy in the Rota-Shock Registry

Autor: Gennaro Sardella, Giulio Stefanini, Pier Pasquale Leone, Giacomo Boccuzzi, Natalia Tovar Fovero, Nicolas Van Mieghem, Giuseppe Giacchi, Javier Escaned, Massimo Fineschi, Luca Testa, Renato Valenti, Carlo Di Mario, Carlo Briguori, Bernardo Cortese, Flavio Ribichini, Jacopo Andrea Oreglia, Antonio Colombo, Giuseppe Sangiorgi, Emanuele Barbato, Jeroen Sonck, Fabrizio Ugo, Carlo Trani, Fausto Castriota, Anita Paggi, Italo Porto, Fabrizio Tomai, Massimo Mancone
Přispěvatelé: Cardiology
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: American Journal of Cardiology, 198. Elsevier Inc.
ISSN: 1879-1913
0002-9149
Popis: Debulking lesions with severe coronary artery calcification (CAC) is highly recommended to obtain good procedural and long-term success. Utilization and performance of coronary intravascular lithotripsy (IVL) after rotational atherectomy (RA) has not been thoroughly studied. This study aimed to evaluate the efficacy and safety of IVL with the Shockwave Coronary Rx Lithotripsy System in lesions with severe CAC as elective or bail-out strategy after RA. This observational, prospective, single-arm, multicenter, international, open-label Rota-Shock registry included patients with symptomatic coronary artery disease and lesions with severe CAC treated by percutaneous coronary intervention, including lesion preparation with RA and IVL, at 23 high-volume centers. Primary efficacy end point was procedural success, defined as final diameter stenosis National Heart, Lung and Blood Institute type B dissection, perforation, abrupt closure, slow or no flow, final thrombolysis in myocardial infarction flow National Heart, Lung and Blood Institute type B occurred in 3 patients (1.9%), whereas slow or no flow occurred in 8 (5.0%), final thrombolysis in myocardial infarction flow
Databáze: OpenAIRE
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