Skip to main content
SpringerLink
Log in

Effects of high-speed rotational atherectomy in peripheral artery disease patients with calcified lesions: a retrospective multicenter registry

  • Original Article
  • Published:
Cardiovascular Intervention and Therapeutics Aims and scope Submit manuscript

Abstract

Calcified lesions still remain a technical challenge even in the treatment of infrainguinal artery disease. The aim of this retrospective, multicenter observational study was to investigate interventional outcomes of a high-speed rotational atherectomy device (Rotablator™) and to compare clinical outcomes in patients who underwent Rotablator and those who did not even after failed balloon angioplasty because of underlying calcified lesions. This study enrolled patients who underwent Rotablator (Rota group) and those who did not (Non-rota group) between January 2010 and 2014 December at 12 hospitals. A total of 67 limbs and 68 lesions in 65 patients were included (Rota group; 54 limbs and 55 lesions in 52 patients, Non-rota group; 13 limbs and 13 lesions in 13 patients). In the Rota group, a technical success rate was 94.5% with a complication rate of 1.8%, and all lesions underwent subsequent postdilatation following the adjunctive use of Rotablator, and approximately half of above-the-knee lesions underwent stent implantation. The Rota group had a significantly lower clinically driven reintervention rate at 12 months than the Non-rota group (26.5% vs. 58.3%, respectively, p = 0.046). In addition, Rota group showed a trend toward a higher amputation-free survival compared to the Non-rota group at 1 month (Rota; 98.0% vs. Non-rota; 84.6%, respectively, p = 0.10). Rotablator was used as an adjunctive device with a high technical success and a low complication rates, and Patients who underwent Rotablator yielded a significantly lower clinically driven reintervention rate at 12 months compared to those who did not even after failed balloon angioplasty.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Kawarada O, Zen K, Hozawa K, Ayabe S, Huang HL, Choi D, et al. Contemporary critical limb ischemia: Asian multidisciplinary consensus statement on the collaboration between endovascular therapy and wound care. Cardiovasc Interv Ther. 2018;33:297–312.

    Article  CAS  Google Scholar 

  2. Tomy M, Kini AS, Sharma SK. Current status of rotational atherectomy. J Am Coll Cardiol Interv. 2014;7:345–53.

    Article  Google Scholar 

  3. Fukuda K, Yokoi Y. Application of rotational atherectomy for a calcified superficial femoral artery lesion. Cardiovasc Interv Ther. 2015;30:351–5.

    Article  Google Scholar 

  4. Schwarzwälder U, Zeller T. Below-the-knee revascularization. Advanced techniques. J Cardiovasc Surg. 2009;50:627–34.

    Google Scholar 

  5. Zacca NM, Raizner AE, Noon GP, Short D 3rd, Weilbaecher D, Gotto A Jr, et al. Treatment of symptomatic peripheral atherosclerotic disease with a rotational atherectomy device. Am J Cardiol. 1989;63:77–80.

    Article  CAS  Google Scholar 

  6. White CJ, Ramee SR, Escobar A, Jain S, Collins TJ. High-speed rotational ablation (Rotablator) for unfavorable lesions in peripheral arteries. Cathet Cardiovasc Diagn. 1993;30:115–9.

    Article  CAS  Google Scholar 

  7. Dorros G, Iyer S, Zaitoun R, Lewin R, Cooley R, Olson K. Acute angiographic and clinical outcome of high speed percutaneous rotational atherectomy (Rotablator). Cathet Cardiovasc Diagn. 1991;22:157–66.

    Article  CAS  Google Scholar 

  8. The Collaborative Rotablator Atherectomy Group (CRAG). Peripheral atherectomy with the rotablator: a multicenter report. J Vasc Surg. 1994;19:509–15.

    Article  Google Scholar 

  9. Henry M, Amor M, Ethevenot G, Henry I, Allaoui M. Percutaneous peripheral atherectomy using the rotablator: a single-center experience. J Endovasc Surg. 1995;2:51–66.

    Article  CAS  Google Scholar 

  10. Myers KA, Denton MJ. Infrainguinal atherectomy using the Auth Rotablator: patency rates and clinical success for 36 procedures. J Endovasc Surg. 1995;2:67–73.

    Article  CAS  Google Scholar 

  11. Mahmud E, Keramati S, Salami A, Palakodeti V, Tsimikas S. Expanded applications of rotational atherectomy in contemporary coronary and peripheral interventional practice. J Invasive Cardiol. 2005;17:207–10.

    PubMed  Google Scholar 

  12. Schwarzwälder U, Zeller T. Debulking procedures: potential device specific indications. Tech Vasc Interv Radiol. 2010;13:43–53.

    Article  Google Scholar 

Download references

Acknowledgements

This study was partially supported by Endovascular Asia, a nonprofit physician education and research meeting.

Author information

Authors and Affiliations

  1. Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan

    Yoshiya Yamamoto, Osami Kawarada & Satoshi Yasuda

  2. Department of Cardiovascular Medicine, Hanwa Memorial Hospital, 7-11-11 Karita, Sumiyoshiku, Osaka, Osaka, 558-0011, Japan

    Osami Kawarada

  3. Department of Cardiology, Kasukabe Chuo General Hospital, Kasukabe, Saitama, Japan

    Hiroshi Ando

  4. Department of Cardiology, Ota Memorial Hospital, Ota, Gunma, Japan

    Hitoshi Anzai

  5. Department of Cardiology, Omihachiman Community Medical Center, Omihachiman, Shiga, Japan

    Kan Zen

  6. Department of Cardiology, Bell Land General Hospital, Sakai, Osaka, Japan

    Kenji Tamura

  7. Department of Cardiology, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan

    Kengo Tsukahara

  8. Department of Cardiology, Kyoto Second Red Cross Hospital, Kyoto, Kyoto, Japan

    Yoshinori Tsubakimoto

  9. Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan

    Masanao Toma

  10. Department of Cardiology, Kyoto Katsura Hospital, Kyoto, Kyoto, Japan

    Shigeru Nakamura

  11. Department of Cardiology, Kakogawa East City Hospital, Kakogawa, Hyogo, Japan

    Hiroaki Nakamura

  12. Department of Cardiology, New Tokyo Hospital, Matsudo, Chiba, Japan

    Koji Hozawa

  13. Department of Cardiology, Kishiwada Tokushukai Hospital, Kishiwada, Osaka, Japan

    Yoshiaki Yokoi

Authors
  1. Yoshiya Yamamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Osami Kawarada
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hiroshi Ando
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hitoshi Anzai
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kan Zen
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kenji Tamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Kengo Tsukahara
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Yoshinori Tsubakimoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Masanao Toma
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Shigeru Nakamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Hiroaki Nakamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Koji Hozawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. Yoshiaki Yokoi
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. Satoshi Yasuda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Osami Kawarada.

Ethics declarations

Conflict of interest

Osami Kawarada reports honorarium of lectures and advisory board fees from Boston Scientific Corporation.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yamamoto, Y., Kawarada, O., Ando, H. et al. Effects of high-speed rotational atherectomy in peripheral artery disease patients with calcified lesions: a retrospective multicenter registry. Cardiovasc Interv and Ther 35, 393–397 (2020). https://doi.org/10.1007/s12928-020-00643-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12928-020-00643-9

Keywords

Search

Navigation