Why the study?
Does excimer laser or rotational atherectomy improve procedural success compared to balloon angioplasty in patients with symptomatic coronary disease and complex lesions?
Population
685 patients with symptomatic coronary disease warranting elective percutaneous revascularization for a…
Comparison
Excimer laser angioplasty or rotational… vs Conventional balloon angioplasty (n=222)
Design
RCT, randomly assigned
Follow-up
6 months
Authors
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Rotational atherectomy improves acute success at the cost of higher 6-month TLR; challenges routine use over balloon angioplasty in complex lesions.
Does excimer laser or rotational atherectomy improve procedural success compared to balloon angioplasty in patients with symptomatic coronary disease and complex lesions?
While rotational atherectomy yields higher initial procedural success for complex coronary lesions than balloon angioplasty, it results in higher rates of repeat revascularization at 6 months.
Reifart et al. (1997) studied this question.
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