Key result
Rota-Cut technique safely and efficiently modifies calcified coronary lesions before stent deployment.
Why the study?
Coronary calcification impairs stent delivery and expansion during PCI of obstructive CAD, reducing procedural success and increasing the risk of early and late complications. This review examines the Rota-Cut technique, combining rotational atherectomy and cutting balloon angioplasty, for calcified lesion modification.
Answers are grounded in this paper and cite their sources.
This narrative review highlights the Rota-Cut technique (combining rotational atherectomy with a cutting balloon) as a safe and efficient plaque modification strategy to facilitate stent delivery and expansion in calcified coronary lesions.
The prevalence of coronary artery calcification (CAC) linked to obstructive coronary artery disease (CAD) has increased along with the burden of comorbidities associated with vascular calcification. Because coronary calcification can obstruct stent delivery and deployment, cause stent under expansion and malapposition, and directly damage stents, percutaneous coronary intervention (PCI) of calcified CAD is linked to lower procedural success and increased risk for both early and late complications. The ideal equipment for plaque modification is simple to use, safe, and efficient during the process and produces good short- and long-term outcomes. We can now safely and easily treat calcified lesions thanks to the development of the Rotablator and the cutting balloon, also known as the Rota-Cut technique. When combined, rotational atherectomy modifies the superficial calcium by creating a tunnel through which the cutting balloon can pass to complete the plaque modification after it has been inserted. Rota-Cut technique is a safe and efficient approach for calcified lesion.
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Sidhi Laksono (2026) conducted a review in Obstructive coronary artery disease with coronary artery calcification. Rota-Cut technique (rotational atherectomy combined with cutting balloon) was evaluated. The Rota-Cut technique combining rotational atherectomy and cutting balloon angioplasty provides a safe and efficient approach for modifying calcified coronary lesions prior to stent deployment.
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