Outcomes after Atherectomy Treatment of Severely Calcified Coronary Bifurcation Lesions: A Single Center Experience
Highlights
- • 15–20% prevalence of percutaneous coronary intervention bifurcation lesions
- • Atherectomy of heavily calcified coronary bifurcation lesions is feasible.
- • Similar atherectomy success rates for bifurcation versus non-bifurcation lesions
- • Low atherectomy MACE rates for both bifurcation and non-bifurcation lesions
- • Orbital atherectomy requires less fluoroscopy and procedure time than rotational.
Abstract
Background
Coronary bifurcation and calcified lesions account for 15–20% and 6%–20% of percutaneous coronary interventions (PCI), respectively. Treatment of these lesions is associated with high periprocedural complication rates and unfavorable long-term clinical outcomes, including high rates of revascularization. This retrospective, single-center study evaluated the outcomes of atherectomy treatment for heavily calcified coronary bifurcation lesions.