Key result
Rotational atherectomy demonstrated comparable safety and success in both acute coronary syndrome (ACS) and non-ACS patients.
Why the study?
The study was conducted to compare the short-term outcomes of rotablation in patients with ACS versus non-ACS.
Does rotational atherectomy have comparable safety and success in ACS versus non-ACS patients?
Cohort (n=60)
No
Does rotational atherectomy have comparable safety and success in ACS versus non-ACS patients?
Rotational atherectomy demonstrates comparable safety and procedural success in both acute coronary syndrome and chronic stable angina patients.
Supports comparable rotablation safety in ACS; leaves open need for randomized confirmation before practice change.
The purpose of this study is to compare short term outcome of rotablation in ACS versus non-ACS patients. 60 Consecutive patients who underwent rotational atherectomy were followed prospectively. The mean duration of follow up was 13.05 ± 5.2 months. The mean ejection fraction was 52.41% ± 9.4%. 45% patients had diagnosis of CSA and 55% were ACS. The mean syntax score was 29.23 ± 7.99. LAD was the most common vessel treated by RA in 76.6%. Rotablation of LM was done in 30%. IVUS guided procedure was done in 66.7%. RA can be done with comparable safety and success in both non-ACS and ACS patients.
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Ary et al. (2022) conducted a cohort in Coronary artery disease requiring rotational atherectomy (n=60). Rotational atherectomy in Acute Coronary Syndrome (ACS) vs. Rotational atherectomy in non-ACS (Chronic Stable Angina) was evaluated on Short term safety and success. Rotational atherectomy demonstrated comparable safety and success in both acute coronary syndrome (ACS) and non-ACS patients.
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