Additional debulking efficacy of low-speed rotational atherectomy after high-speed rotational atherectomy for calcified coronary lesion
We aimed to evaluate the additional debulking efficacy of low-speed rotational atherectomy (RA) after high-speed RA by using intravascular imaging. A total of 22 severe calcified coronary lesions in 19 patients (age, 74 ± 10 years; 74% male) were retrospectively analyzed. All of these lesions underw...
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| Veröffentlicht in: | The International Journal of Cardiovascular Imaging 2020-10, Vol.36 (10), p.1811-1819 |
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| creator | Kobayashi, Norihiro Yamawaki, Masahiro Hirano, Keisuke Araki, Motoharu Sakai, Tsuyoshi Sakamoto, Yasunari Mori, Shinsuke Tsutsumi, Masakazu Sahara, Naohiko Nauchi, Masahiro Honda, Yohsuke Makino, Kenji Shirai, Shigemitsu Mizusawa, Masafumi Sugizaki, Yuta Nakano, Takahide Fukagawa, Tomoya Kishida, Toshihiko Kozai, Yuki Setonaga, Yusuke Goda, Shutaro Ito, Yoshiaki |
| description | We aimed to evaluate the additional debulking efficacy of low-speed rotational atherectomy (RA) after high-speed RA by using intravascular imaging. A total of 22 severe calcified coronary lesions in 19 patients (age, 74 ± 10 years; 74% male) were retrospectively analyzed. All of these lesions underwent RA under optical coherence tomography (OCT) or optical frequency domain imaging (OFDI) guidance. At first, we performed high-speed RA with 220,000 rpm until the reduction of rotational speed disappeared; then, low-speed RA with 120,000 rpm using the same burr size was performed. OCT or OFDI was performed after both high-speed and low-speed RAs, and the minimum lumen area were compared. The initial and final burr sizes of high-speed RA were 1.5 (1.5–1.75) and 1.75 (1.5–2.0) mm, respectively. The number of sessions, total duration time, and maximum decreased rotational speed during high-speed RA were 11 ± 5 times, 113 ± 47 s, and 4000 (3000–5000) rpm, respectively. During low-speed RA, the number of sessions, total duration time, and maximum reduction of rotational speed were 3 ± 1 times, 32 ± 11 s, and 1000 (0–2000) rpm, respectively. The minimum lumen area was similar between after high-speed and after low-speed RA [2.61 ± 1.03 mm
2
(after high-speed RA) vs. 2.65 ± 1.00 mm
2
(after low-speed RA); P = 0.91]. Additional low-speed RA immediately after sufficient debulking by high-speed RA was not associated with increased lumen enlargement. There was no clinical efficacy of low-speed RA after high-speed RA. |
| doi_str_mv | 10.1007/s10554-020-01912-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2412216711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2442688064</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-6e0cb217c2b3c8ffb09c30e084f12275266c432a25f00f5c8b6cdefe626b2bfd3</originalsourceid><addsrcrecordid>eNp90c1uEzEQB3ALFdESeAEOyFIvXAzj782xqkqLVIkLnC2vd5y4bOJg7wrlCfraOCSA1EPlgy35N39rPIS84_CRA9hPlYPWioEABnzJBbMvyAXXVjKwSp4dzmbJtF2qc_K61geARoV8Rc6l0EK1dUEer4YhTSlv_UgH7OfxR9quKMaYgg97miMd8y9Wd4gDLXnyJ-qnNRYMU97sqY8TFrpOq_XzLuZCgx9DiqmhkEsTZU9HrM2-IS-jHyu-Pe0L8v3zzbfrO3b_9fbL9dU9C9LqiRmE0Atug-hl6GLsYRkkIHQqciGsFsYEJYUXOgJEHbrehAEjGmF60cdBLsiHY-6u5J8z1sltUg04jn6Lea5OqJbDjeW80csn9CHPpXV1UEqYrgOjmhJHFUqutWB0u5I2rTHHwR3G5I5jcu3v3Z8xOduK3p-i536Dw7-Sv3NpQB5BbVfbFZb_bz8T-xvvIqA-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2442688064</pqid></control><display><type>article</type><title>Additional debulking efficacy of low-speed rotational atherectomy after high-speed rotational atherectomy for calcified coronary lesion</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Kobayashi, Norihiro ; Yamawaki, Masahiro ; Hirano, Keisuke ; Araki, Motoharu ; Sakai, Tsuyoshi ; Sakamoto, Yasunari ; Mori, Shinsuke ; Tsutsumi, Masakazu ; Sahara, Naohiko ; Nauchi, Masahiro ; Honda, Yohsuke ; Makino, Kenji ; Shirai, Shigemitsu ; Mizusawa, Masafumi ; Sugizaki, Yuta ; Nakano, Takahide ; Fukagawa, Tomoya ; Kishida, Toshihiko ; Kozai, Yuki ; Setonaga, Yusuke ; Goda, Shutaro ; Ito, Yoshiaki</creator><creatorcontrib>Kobayashi, Norihiro ; Yamawaki, Masahiro ; Hirano, Keisuke ; Araki, Motoharu ; Sakai, Tsuyoshi ; Sakamoto, Yasunari ; Mori, Shinsuke ; Tsutsumi, Masakazu ; Sahara, Naohiko ; Nauchi, Masahiro ; Honda, Yohsuke ; Makino, Kenji ; Shirai, Shigemitsu ; Mizusawa, Masafumi ; Sugizaki, Yuta ; Nakano, Takahide ; Fukagawa, Tomoya ; Kishida, Toshihiko ; Kozai, Yuki ; Setonaga, Yusuke ; Goda, Shutaro ; Ito, Yoshiaki</creatorcontrib><description>We aimed to evaluate the additional debulking efficacy of low-speed rotational atherectomy (RA) after high-speed RA by using intravascular imaging. A total of 22 severe calcified coronary lesions in 19 patients (age, 74 ± 10 years; 74% male) were retrospectively analyzed. All of these lesions underwent RA under optical coherence tomography (OCT) or optical frequency domain imaging (OFDI) guidance. At first, we performed high-speed RA with 220,000 rpm until the reduction of rotational speed disappeared; then, low-speed RA with 120,000 rpm using the same burr size was performed. OCT or OFDI was performed after both high-speed and low-speed RAs, and the minimum lumen area were compared. The initial and final burr sizes of high-speed RA were 1.5 (1.5–1.75) and 1.75 (1.5–2.0) mm, respectively. The number of sessions, total duration time, and maximum decreased rotational speed during high-speed RA were 11 ± 5 times, 113 ± 47 s, and 4000 (3000–5000) rpm, respectively. During low-speed RA, the number of sessions, total duration time, and maximum reduction of rotational speed were 3 ± 1 times, 32 ± 11 s, and 1000 (0–2000) rpm, respectively. The minimum lumen area was similar between after high-speed and after low-speed RA [2.61 ± 1.03 mm
2
(after high-speed RA) vs. 2.65 ± 1.00 mm
2
(after low-speed RA); P = 0.91]. Additional low-speed RA immediately after sufficient debulking by high-speed RA was not associated with increased lumen enlargement. There was no clinical efficacy of low-speed RA after high-speed RA.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-020-01912-7</identifier><identifier>PMID: 32524242</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty, Balloon, Coronary - adverse effects ; Atherectomy, Coronary - adverse effects ; Calcification ; Cardiac Imaging ; Cardiology ; Coronary Angiography ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - therapy ; Enlargement ; Female ; High speed ; Humans ; Imaging ; Lesions ; Low speed ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Middle Aged ; Optical Coherence Tomography ; Optical frequency ; Original Paper ; Radiology ; Reduction ; Retrospective Studies ; Stents ; Time Factors ; Tomography, Optical Coherence ; Treatment Outcome ; Vascular Calcification - diagnostic imaging ; Vascular Calcification - therapy</subject><ispartof>The International Journal of Cardiovascular Imaging, 2020-10, Vol.36 (10), p.1811-1819</ispartof><rights>Springer Nature B.V. 2020</rights><rights>Springer Nature B.V. 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-6e0cb217c2b3c8ffb09c30e084f12275266c432a25f00f5c8b6cdefe626b2bfd3</citedby><cites>FETCH-LOGICAL-c375t-6e0cb217c2b3c8ffb09c30e084f12275266c432a25f00f5c8b6cdefe626b2bfd3</cites><orcidid>0000-0003-1254-0621</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10554-020-01912-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-020-01912-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32524242$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kobayashi, Norihiro</creatorcontrib><creatorcontrib>Yamawaki, Masahiro</creatorcontrib><creatorcontrib>Hirano, Keisuke</creatorcontrib><creatorcontrib>Araki, Motoharu</creatorcontrib><creatorcontrib>Sakai, Tsuyoshi</creatorcontrib><creatorcontrib>Sakamoto, Yasunari</creatorcontrib><creatorcontrib>Mori, Shinsuke</creatorcontrib><creatorcontrib>Tsutsumi, Masakazu</creatorcontrib><creatorcontrib>Sahara, Naohiko</creatorcontrib><creatorcontrib>Nauchi, Masahiro</creatorcontrib><creatorcontrib>Honda, Yohsuke</creatorcontrib><creatorcontrib>Makino, Kenji</creatorcontrib><creatorcontrib>Shirai, Shigemitsu</creatorcontrib><creatorcontrib>Mizusawa, Masafumi</creatorcontrib><creatorcontrib>Sugizaki, Yuta</creatorcontrib><creatorcontrib>Nakano, Takahide</creatorcontrib><creatorcontrib>Fukagawa, Tomoya</creatorcontrib><creatorcontrib>Kishida, Toshihiko</creatorcontrib><creatorcontrib>Kozai, Yuki</creatorcontrib><creatorcontrib>Setonaga, Yusuke</creatorcontrib><creatorcontrib>Goda, Shutaro</creatorcontrib><creatorcontrib>Ito, Yoshiaki</creatorcontrib><title>Additional debulking efficacy of low-speed rotational atherectomy after high-speed rotational atherectomy for calcified coronary lesion</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>We aimed to evaluate the additional debulking efficacy of low-speed rotational atherectomy (RA) after high-speed RA by using intravascular imaging. A total of 22 severe calcified coronary lesions in 19 patients (age, 74 ± 10 years; 74% male) were retrospectively analyzed. All of these lesions underwent RA under optical coherence tomography (OCT) or optical frequency domain imaging (OFDI) guidance. At first, we performed high-speed RA with 220,000 rpm until the reduction of rotational speed disappeared; then, low-speed RA with 120,000 rpm using the same burr size was performed. OCT or OFDI was performed after both high-speed and low-speed RAs, and the minimum lumen area were compared. The initial and final burr sizes of high-speed RA were 1.5 (1.5–1.75) and 1.75 (1.5–2.0) mm, respectively. The number of sessions, total duration time, and maximum decreased rotational speed during high-speed RA were 11 ± 5 times, 113 ± 47 s, and 4000 (3000–5000) rpm, respectively. During low-speed RA, the number of sessions, total duration time, and maximum reduction of rotational speed were 3 ± 1 times, 32 ± 11 s, and 1000 (0–2000) rpm, respectively. The minimum lumen area was similar between after high-speed and after low-speed RA [2.61 ± 1.03 mm
2
(after high-speed RA) vs. 2.65 ± 1.00 mm
2
(after low-speed RA); P = 0.91]. Additional low-speed RA immediately after sufficient debulking by high-speed RA was not associated with increased lumen enlargement. There was no clinical efficacy of low-speed RA after high-speed RA.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Atherectomy, Coronary - adverse effects</subject><subject>Calcification</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - therapy</subject><subject>Enlargement</subject><subject>Female</subject><subject>High speed</subject><subject>Humans</subject><subject>Imaging</subject><subject>Lesions</subject><subject>Low speed</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Optical Coherence Tomography</subject><subject>Optical frequency</subject><subject>Original Paper</subject><subject>Radiology</subject><subject>Reduction</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Time Factors</subject><subject>Tomography, Optical Coherence</subject><subject>Treatment Outcome</subject><subject>Vascular Calcification - 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adverse effects</topic><topic>Atherectomy, Coronary - adverse effects</topic><topic>Calcification</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - therapy</topic><topic>Enlargement</topic><topic>Female</topic><topic>High speed</topic><topic>Humans</topic><topic>Imaging</topic><topic>Lesions</topic><topic>Low speed</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Optical Coherence Tomography</topic><topic>Optical frequency</topic><topic>Original Paper</topic><topic>Radiology</topic><topic>Reduction</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Time Factors</topic><topic>Tomography, Optical Coherence</topic><topic>Treatment Outcome</topic><topic>Vascular Calcification - diagnostic imaging</topic><topic>Vascular Calcification - 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Academic</collection><jtitle>The International Journal of Cardiovascular Imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kobayashi, Norihiro</au><au>Yamawaki, Masahiro</au><au>Hirano, Keisuke</au><au>Araki, Motoharu</au><au>Sakai, Tsuyoshi</au><au>Sakamoto, Yasunari</au><au>Mori, Shinsuke</au><au>Tsutsumi, Masakazu</au><au>Sahara, Naohiko</au><au>Nauchi, Masahiro</au><au>Honda, Yohsuke</au><au>Makino, Kenji</au><au>Shirai, Shigemitsu</au><au>Mizusawa, Masafumi</au><au>Sugizaki, Yuta</au><au>Nakano, Takahide</au><au>Fukagawa, Tomoya</au><au>Kishida, Toshihiko</au><au>Kozai, Yuki</au><au>Setonaga, Yusuke</au><au>Goda, Shutaro</au><au>Ito, Yoshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Additional debulking efficacy of low-speed rotational atherectomy after high-speed rotational atherectomy for calcified coronary lesion</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>36</volume><issue>10</issue><spage>1811</spage><epage>1819</epage><pages>1811-1819</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><abstract>We aimed to evaluate the additional debulking efficacy of low-speed rotational atherectomy (RA) after high-speed RA by using intravascular imaging. A total of 22 severe calcified coronary lesions in 19 patients (age, 74 ± 10 years; 74% male) were retrospectively analyzed. All of these lesions underwent RA under optical coherence tomography (OCT) or optical frequency domain imaging (OFDI) guidance. At first, we performed high-speed RA with 220,000 rpm until the reduction of rotational speed disappeared; then, low-speed RA with 120,000 rpm using the same burr size was performed. OCT or OFDI was performed after both high-speed and low-speed RAs, and the minimum lumen area were compared. The initial and final burr sizes of high-speed RA were 1.5 (1.5–1.75) and 1.75 (1.5–2.0) mm, respectively. The number of sessions, total duration time, and maximum decreased rotational speed during high-speed RA were 11 ± 5 times, 113 ± 47 s, and 4000 (3000–5000) rpm, respectively. During low-speed RA, the number of sessions, total duration time, and maximum reduction of rotational speed were 3 ± 1 times, 32 ± 11 s, and 1000 (0–2000) rpm, respectively. The minimum lumen area was similar between after high-speed and after low-speed RA [2.61 ± 1.03 mm
2
(after high-speed RA) vs. 2.65 ± 1.00 mm
2
(after low-speed RA); P = 0.91]. Additional low-speed RA immediately after sufficient debulking by high-speed RA was not associated with increased lumen enlargement. There was no clinical efficacy of low-speed RA after high-speed RA.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>32524242</pmid><doi>10.1007/s10554-020-01912-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1254-0621</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1569-5794 |
| ispartof | The International Journal of Cardiovascular Imaging, 2020-10, Vol.36 (10), p.1811-1819 |
| issn | 1569-5794 1573-0743 1875-8312 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2412216711 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Aged, 80 and over Angioplasty, Balloon, Coronary - adverse effects Atherectomy, Coronary - adverse effects Calcification Cardiac Imaging Cardiology Coronary Angiography Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - therapy Enlargement Female High speed Humans Imaging Lesions Low speed Male Medical imaging Medicine Medicine & Public Health Middle Aged Optical Coherence Tomography Optical frequency Original Paper Radiology Reduction Retrospective Studies Stents Time Factors Tomography, Optical Coherence Treatment Outcome Vascular Calcification - diagnostic imaging Vascular Calcification - therapy |
| title | Additional debulking efficacy of low-speed rotational atherectomy after high-speed rotational atherectomy for calcified coronary lesion |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T02%3A47%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Additional%20debulking%20efficacy%20of%20low-speed%20rotational%20atherectomy%20after%20high-speed%20rotational%20atherectomy%20for%20calcified%20coronary%20lesion&rft.jtitle=The%20International%20Journal%20of%20Cardiovascular%20Imaging&rft.au=Kobayashi,%20Norihiro&rft.date=2020-10-01&rft.volume=36&rft.issue=10&rft.spage=1811&rft.epage=1819&rft.pages=1811-1819&rft.issn=1569-5794&rft.eissn=1573-0743&rft_id=info:doi/10.1007/s10554-020-01912-7&rft_dat=%3Cproquest_cross%3E2442688064%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2442688064&rft_id=info:pmid/32524242&rfr_iscdi=true |