Evidence map›Paper›PMID 41268257›Full record

ArticleAmerican journal of translational research2025

The application of rotational atherectomy in PCI for patients with complex coronary artery calcified lesions.

Zun Hu, Guoliang Tan, Yubo Long, Jingjing Rong, Junshan Li, Jianqiang Peng, Changlu Wang, Yu Zhang, Yongjun Hu, Jin He and 1 more

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Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Zun HuDepartment of Cardiology, Hunan Province Rehabilitation Hospital No. 31 Yuhua Lane, Yuhua District, Changsha 410000, Hunan, China.
Guoliang TanDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.
Yubo LongDepartment of Cardiology, The Central Hospital of Xiangtan No. 120 Heping Road, Xiangtan 411100, Hunan, China.
Jingjing RongDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.
Junshan LiDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.
Jianqiang PengDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.
Changlu WangDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.
Yu ZhangDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.
Yongjun HuDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.
Jin HeDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.
Hongwei PanDepartment of Cardiology, Clinical Research Center for Heart Failure in Hunan Province, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital Changsha 410005, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the safety and efficacy of rotational atherectomy (RA) in the treatment of complex coronary calcified lesions and to identify factors associated with patient prognosis.

methodsA retrospective study was conducted on 200 patients who underwent RA at Hunan Provincial People's Hospital between January 2022 and March 2024. Baseline demographics, angiographic, procedural, and laboratory variables were collected. Major adverse cardiovascular events (MACE) after discharge were recorded through scheduled clinic visits and telephone follow-up (median, 12 months). All patients received standardized RA, intracoronary imaging guidance, and 12-month dual antiplatelet therapy. Pre- and post-procedural parameters were compared using paired tests, and multivariable logistic regression was performed to identify independent predictors of adverse outcomes.

resultsRA significantly increased the minimum lumen area (2.31 mm

conclusionRA effectively improves luminal dimensions in complex coronary calcified lesions. Concomitant hypertension and DM are independent risk factors for poor prognosis after RA. Among patients with both conditions, advanced age, left main coronary artery lesion, and larger maximum burr diameter may predict worse clinical outcomes.

Indexed as

calcified coronary lesionsminimum lumen diameterprocedural complicationsRotational atherectomyshort-term outcomes

Identifiers

PMID41268257
PMCPMC12628244

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