Why the study?
Does rotational atherectomy prior to sirolimus-eluting stent implantation improve outcomes in patients with heavily calcified coronary lesions compared to stenting alone?
Does rotational atherectomy prior to sirolimus-eluting stent implantation improve outcomes in patients with heavily calcified coronary lesions compared to stenting alone?
In patients with heavily calcified coronary lesions, sirolimus-eluting stent implantation with or without rotational atherectomy yields similar clinical success and 6-month outcomes.
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No difference in revascularization with added rotational atherectomy; leaves open its selective role pending randomized trials.
Clavijo et al. (2006) studied this question.
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