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      Clinical outcomes of atherectomy prior to percutaneous coronary intervention: A comparison of outcomes following rotational versus orbital atherectomy (COAP-PCI study)

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          Most cited references 22

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          2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions.

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            Coronary artery calcification: pathogenesis and prognostic implications.

            Coronary artery calcification (CAC) is a risk factor for adverse outcomes in the general population and in patients with coronary artery disease. The pathogenesis of CAC and bone formation share common pathways, and risk factors have been identified that contribute to the initiation and progression of CAC. Efforts to control CAC with medical therapy have not been successful. Event-free survival is also reduced in patients with coronary calcification after both percutaneous coronary intervention (PCI) and bypass graft surgery. Although drug-eluting stents and devices for plaque modification have modestly improved outcomes in calcified vessels, adverse event rates are still high. Innovative pharmacologic and device-based approaches are needed to improve the poor prognosis of patients with CAC.
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              High-speed rotational atherectomy before paclitaxel-eluting stent implantation in complex calcified coronary lesions: the randomized ROTAXUS (Rotational Atherectomy Prior to Taxus Stent Treatment for Complex Native Coronary Artery Disease) trial.

              This study sought to determine the effect of rotational atherectomy (RA) on drug-eluting stent (DES) effectiveness.
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                Author and article information

                Journal
                Journal of Interventional Cardiology
                J Interven Cardiol
                Wiley
                08964327
                August 2018
                August 2018
                April 29 2018
                : 31
                : 4
                : 478-485
                Affiliations
                [1 ]Department of Cardiology; Northwell Health; Hofstra Northwell Health School of Medicine; Manhasset New York
                Article
                10.1111/joic.12511
                © 2018

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