Comparison of Rotational with Orbital Atherectomy During Percutaneous Coronary Intervention for Coronary Artery Calcification: A Systematic Review and Meta-Analysis
Highlights
- • Odds of MACE, MI, all-cause mortality was lower during OA compared to RA.
- • Total fluoroscopy time was lower during OA compared to RA.
- • Vascular complications were not different between OA and RA.
- • In a Bayesian analysis the outcomes of mortality, MACE, MI and dissections/perforations were similar between OA and RA.
Abstract
Background
Percutaneous coronary intervention (PCI) outcomes for patients with significant calcification have been consistently inferior compared to patients without significant calcification. Procedural success and long-term outcomes after PCI have been worse in patients with severe coronary calcium.