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- W2034203430 abstract "<i>Background:</i> Bifurcational coronary lesions present a major interventional challenge. The differential cutting mechanism of high-speed rotational atherectomy (HSRA) may provide a favourable technique of treating this complex lesion subtype. <i>Methods:</i> We evaluated the use of HSRA (32 lesions) compared to balloon angioplasty (BA) (118 lesions), with provisional stenting in both groups, in a non-randomised, retrospective study of 150 bifurcation-type lesions. <i>Results:</i> The HSRA/stent group had a high primary success rate of 97%, an acceptably low in-hospital event rate of 9% and an overall major adverse cardiac event (MACE) rate at a mean follow-up period of 15 ± 3.4 months of 22.5% with a target lesion revascularisation (TLR) rate of 18.7%. Procedural success in the BA/stent group was 81% with an in-hospital event rate of 14.4%, and the overall MACE rate at follow-up was 27.5% with a TLR rate of 23%. We achieved a greater acute gain in minimal luminal diameter and a lesser percentage of residual stenosis after intervention in the HSRA/stent group compared to the BA/stent group (p < 0.01). Outcome at follow-up favoured the HSRA/stent group, although the difference did not reach statistical significance. <i>Conclusion:</i> HSRA with provisional stenting provided a safe and effective means of treating bifurcation lesions." @default.
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- W2034203430 date "2001-01-01" @default.
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- W2034203430 title "High-Speed Rotational Atherectomy in the Treatment of Bifurcation-Type Coronary Lesions" @default.
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- W2034203430 doi "https://doi.org/10.1159/000047372" @default.
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