Evidence map›Paper›PMID 37373718›Full record

ArticleJournal of clinical medicine2023

Comparison of Orbital Atherectomy and Rotational Atherectomy in Calcified Left Main Disease: Short-Term Outcomes.

Piotr Rola, Jan Jakub Kulczycki, Mateusz Barycki, Szymon Włodarczak, Łukasz Furtan, Michalina Kędzierska, Katarzyna Giniewicz, Adrian Doroszko, Maciej Lesiak, Adrian Włodarczak

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06451146 (Evaluation of the Safety and Efficacy of Orbital Atherectomy), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06451146 recruitingnot on this map

Evaluation of the Safety and Efficacy of Orbital Atherectomy (OA) for Calcified Lesions in Patients With Coronary Artery Disease: The Lower Silesian Orbital Atherectomy Registry (LOAR)

Typeobservational_patient_registrySponsorMiedziowe Centrum Zdrowia SARan2022 to 2027Enrolled500ConditionsSafety Issues, Efficacy, SelfArmsPCI Facilitated with Orbital Atherectomy Device
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  3. Review
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Piotr RolaFaculty of Health Sciences and Physical Culture, Witelon Collegium State University, 59-220 Legnica, Poland.ORCID 0000-0002-0963-2712
Jan Jakub KulczyckiDepartment of Cardiology, The Copper Health Centre (MCZ), 59-300 Lubin, Poland.ORCID 0000-0002-6670-6044
Mateusz BaryckiDepartment of Cardiology, Provincial Specialized Hospital, 59-220 Legnica, Poland.ORCID 0000-0002-9112-8012
Szymon WłodarczakDepartment of Cardiology, The Copper Health Centre (MCZ), 59-300 Lubin, Poland.ORCID 0000-0002-9886-0310
Łukasz FurtanDepartment of Cardiology, Provincial Specialized Hospital, 59-220 Legnica, Poland.
Michalina KędzierskaFaculty of Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Katarzyna GiniewiczIndependent Researcher, 50-556 Wroclaw, Poland.
Adrian DoroszkoClinical Department of Internal Medicine and Occupational Diseases, Hypertension and Clinical Oncology, Faculty of Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0000-0001-5472-028X
Maciej Lesiak1st Department of Cardiology, University of Medical Sciences, 61-848 Poznan, Poland.ORCID 0000-0003-2630-5016
Adrian WłodarczakFaculty of Health Sciences and Physical Culture, Witelon Collegium State University, 59-220 Legnica, Poland.ORCID 0000-0003-3104-7728
Witelon State University of Applied Sciences in Legnica · PLWroclaw Medical University · PLPoznan University of Medical Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary calcifications, particularly in left main disease (LMD), are independently associated with adverse outcomes of percutaneous coronary intervention (PCI). Adequate lesion preparation is pivotal to achieve favorable short- and long-term outcomes. Rotational atherectomy devices have been used in contemporary practice to obtain adequate preparation of the calcified lesions. Recently, novel orbital atherectomy (OA) devices have been introduced to clinical practice to facilitate the preparation of the lesion. The objective of this study is to compare the short-term safety and efficacy of orbital and rotational atherectomy for LMD.

methodswe retrospectively evaluated a total of 55 consecutive patients who underwent the LM PCI supported by either OA or RA.

resultsThe OA group consisted of 25 patients with a median SYNTAX Score of 28 (26-36). The Rota group consisted of 30 patients with a median SYNTAX Score of 28 (26-33.1) There were no statistical differences in MACCE between the RA and OA subpopulations when recorded in-hospital (6.7% vs. 10.3%

conclusionOA and RA seem to be similarly safe and effective strategies for preparating the lesion in the high-risk population with calcified LMD.

Indexed as

calcified lesionsleft main diseaseorbital atherectomypercutaneous coronary interventionrotational atherectomy

Identifiers

PMID37373718
PMCPMC10299662
OpenAlexW4380610642

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.