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© 2017, Wiley Periodicals, Inc. DOI: 10.1111/joic.12366 CORONARY ARTERY DISEASE Percutaneous Coronary Intervention of Complex Calcified Lesions With Drug-Coated Balloon After Rotational Atherectomy 1 1 2 TUOMAS T. RISSANEN, M.D., PH.D., SANNA USKELA, M.D., ANTTI SILJANDER, M.D., 2 1 € € € € JUSSI M. KARKKAINEN, M.D., PH.D., PIRJO MANTYLA, M.D., JUHA MUSTONEN, M.D., 1 1 PH.D., and JAAKKO ERANEN, M.D. 1 2 From the Heart Center, Central Hospital of North Karelia, Joensuu, Finland; and Heart Center, Kuopio University Hospital, Kuopio, Finland Objectives: We investigated the safety and efficacy of PCI using drug-coated balloon (DCB) after rotational atherectomy (rotablation) in a retrospective single center study in patients with calcified de novo coronary lesions. The majority of patients had an increased risk for bleeding. Background: DCB has been effective in the treatment of in-stent restenosis, small vessels, and bifurcations. DCB enables short one month dual antiplatelet treatment. No published data exist on the use of DCB after rotablation. Methods: 82 PCIs were performed in 65 patients (mean age 72 10 years) using rotablation followed by DCB treatment. The median follow-up time was 17 months. 82% of the patients had at least one risk factor for bleeding such as oral anticoagulation.
Journal of Interventional Cardiology – Wiley
Published: Apr 1, 2017
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