The Use of Rotational Atherectomy in the Treatment of Coronary Artery Disease – A Review of Efficacy, Safety, and Clinical Indications
DOI:
https://doi.org/10.12775/JEHS.2026.88.68098Keywords
rotational atherectomy, percutaneous coronary intervention, coronary artery diseaseAbstract
Coronary artery disease is a leading cause of death worldwide, and percutaneous coronary intervention (PCI) is a common treatment. The presence of calcified plaques often makes the procedure difficult, as they limit vessel expansion and proper stent placement. To improve outcomes, several plaque modification techniques have been developed. One of the most widely used is rotational atherectomy (RA). This method employs a diamond-coated burr that rotates at high speed, selectively removing hard, calcified tissue while sparing the softer vessel wall. RA is mainly used as a supportive technique to prepare the lesion and enable effective balloon angioplasty and stent implantation.
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Copyright (c) 2026 Maria Wysieńska, Piotr Jóźwiak, Adam Rybak, Weronika Biaduń-Mućko, Kinga Rogowska-Borettini, Aleksandra Romanowska, Paweł Arkadiusz Malmur
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