SWITCHing to Distal RaiLtracking Technique for Rotational Atherectomy Procedures: Short-Term Outcomes and Impact on Clinical Practice (The SWITCH D-RIL Registry)

Giuseppe Colletti; Gregory A. Sgueglia; Adrien Jossart; Caroline Lepièce; Olivier Gach; Alexandre Natalis; Laura Peter; Silviu Dumitrascu; Claudiu Ungureanu

doi:10.25270/jic/25.00355

January 1, 2026The Journal of invasive cardiology/The journal of invasive cardiology

SWITCHing to Distal RaiLtracking Technique for Rotational Atherectomy Procedures: Short-Term Outcomes and Impact on Clinical Practice (The SWITCH D-RIL Registry)

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Key Points

The distal railtracking technique shows strong efficacy in addressing severely calcified coronary disease, enhancing patient safety.
Efficacy metrics indicate that DRT can effectively use large bore guiding catheters while preserving radial artery integrity.
Assessment using the DISTAL RAILTRACKING registry confirms that DRA is feasible and safe for these complex procedures.
Highlights the need for broader adoption, potentially improving clinical practices in managing coronary disease.

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Implication

Observational analysis reports on the safety and efficacy of distal railtracking in treating severe coronary disease, suggesting improved practices.

Abstract

The DRT technique demonstrated feasibility, safety, and efficacy in treating severely calcified coronary disease. This study highlights the reliability of DRA, even when large bore guiding catheters are necessary, emphasizing its potential to provide a safer approach while ensuring radial artery preservation.

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Colletti et al. (2026) studied this question.

synapsesocial.com/papers/69a75b62c6e9836116a229e3 https://doi.org/10.25270/jic/25.00355

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SWITCHing to Distal RaiLtracking Technique for Rotational Atherectomy Procedures: Short-Term Outcomes and Impact on Clinical Practice (The SWITCH D-RIL Registry)

Key Points

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Implication

Abstract

Discussion

Cite This Study

SWITCHing to Distal RaiLtracking Technique for Rotational Atherectomy Procedures: Short-Term Outcomes and Impact on Clinical Practice (The SWITCH D-RIL Registry)

Key Points

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Implication

Abstract

Discussion

Cite This Study

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