Rola Piotr, Włodarczak Szymon, Barycki Mateusz, Furtan Łukasz, Jastrzębski Artur, Kędzierska Michalina, Doroszko Adrian, Lesiak Maciej, Włodarczak Adrian
Faculty of Health Sciences and Physical Culture, Witelon Collegium State University, 59-220 Legnica, Poland.
Department of Cardiology, Provincial Specialized Hospital, 59-220 Legnica, Poland.
J Clin Med. 2023 Sep 8;12(18):5842. doi: 10.3390/jcm12185842.
Coronary calcifications represent a challenging subset for the interventional cardiologist performing percutaneous coronary intervention (PCI) and are well-established risk factors for adverse outcomes. Adequate plaque modification prior to stent implantation is critical to achieve an optimal outcome following PCI. Recently, a novel orbital atherectomy device has been introduced into clinical practice to modify calcified plaques. We evaluated the mid-term safety and efficacy of OA in a high-risk "all-comers" population.
We evaluated 96 consecutive patients with severely calcified coronary lesions who underwent PCI facilitated by the orbital atherectomy device.
In-hospital MACCE was 5.2% without target lesion revascularization. At 6-month follow-up, the MACCE rate was 10.4% with a concomitant TLR rate of 1%.
Our mid-term data showed good safety and efficacy of orbital atherectomy as a plaque-modifying tool in an all-comers cohort with severely calcified coronary lesions.
冠状动脉钙化对于进行经皮冠状动脉介入治疗（PCI）的介入心脏病学家而言是一个具有挑战性的亚组，并且是不良结局的公认危险因素。在支架植入前进行充分的斑块修饰对于PCI术后获得最佳结局至关重要。最近，一种新型的轨道旋磨术设备已被引入临床实践以修饰钙化斑块。我们评估了轨道旋磨术在高危“所有患者”人群中的中期安全性和有效性。
我们评估了96例连续接受轨道旋磨术设备辅助PCI的严重钙化冠状动脉病变患者。
住院期间主要不良心血管和脑血管事件（MACCE）发生率为5.2%，无靶病变血运重建。在6个月随访时，MACCE发生率为10.4%，靶病变血管重建（TLR）率为1%。
我们的中期数据显示，在所有患有严重钙化冠状动脉病变的患者队列中，轨道旋磨术作为一种斑块修饰工具具有良好的安全性和有效性。
