Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics

Rotational atherectomy (RA) has been widely used for percutaneous coronary intervention (PCI) to severely calcified lesions. As compared to other countries, RA in Japan has uniquely developed with the aid of greater usage of intravascular imaging devices such as intravascular ultrasound (IVUS) or op...

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Bibliographic Details
Published in:Cardiovascular intervention and therapeutics 2021-01, Vol.36 (1), p.1-18
Main Authors: Sakakura, Kenichi, Ito, Yoshiaki, Shibata, Yoshisato, Okamura, Atsunori, Kashima, Yoshifumi, Nakamura, Shigeru, Hamazaki, Yuji, Ako, Junya, Yokoi, Hiroyoshi, Kobayashi, Yoshio, Ikari, Yuji
Format: Article
Language:English
Subjects:
Atherectomy, Coronary - standards
Cardiology
Consensus
Coronary Artery Disease - diagnosis
Coronary Artery Disease - surgery
Expert Consensus Document
Humans
Interventional Radiology
Japan
Medicine
Medicine & Public Health
Societies, Medical
Tomography, Optical Coherence - methods
Treatment Outcome
Ultrasonography
Vascular Calcification - diagnosis
Vascular Calcification - surgery
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Summary:Rotational atherectomy (RA) has been widely used for percutaneous coronary intervention (PCI) to severely calcified lesions. As compared to other countries, RA in Japan has uniquely developed with the aid of greater usage of intravascular imaging devices such as intravascular ultrasound (IVUS) or optical coherence tomography (OCT). IVUS has been used to understand the guidewire bias and to decide appropriate burr sizes during RA, whereas OCT can also provide the thickness of calcification. Owing to such abundant experiences, Japanese RA operators modified RA techniques and reported unique evidences regarding RA. The Task Force on Rotational Atherectomy of the J apanese Association of Cardiovascular Intervention and Therapeutics (CVIT) has now proposed the expert consensus document to summarize the contemporary techniques and evidences regarding RA.
ISSN:1868-4300
1868-4297
DOI:10.1007/s12928-020-00715-w