{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:34:04Z","timestamp":1776450844561,"version":"3.51.2"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,1,17]],"date-time":"2016-01-17T00:00:00Z","timestamp":1452988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2016,11,15]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aimed to investigate procedural feasibility and outcomes associated with planned rotational atherectomy (RA) for severely calcified coronary lesions. Background: Limited data are available addressing the benefits of planned RA compared to provisional RA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2002 and 2013, all patients with calcified lesions treated by RA were enrolled. Of these, patients treated with planned RA (358 patients) were compared to those treated with provisional RA (309 patients).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In\u2010hospital major adverse cardiovascular events (MACE) were tended to be better in the planned RA group (unadjusted OR: 0.76; 95% CI: 0.44\u20131.31, <jats:italic>P<\/jats:italic>\u2009=\u20090.32, and adjusted OR: 0.59; 95% CI: 0.33\u20131.05, <jats:italic>P<\/jats:italic>\u2009=\u20090.07). The number of pre\u2010dilation balloon catheters was significantly lower in the planned RA group (1.17\u2009\u00b1\u20090.60 vs. 1.47\u2009\u00b1\u20090.76, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Procedure time, fluoroscopy time, and contrast volume used were all significantly reduced in the planned RA group compared to the provisional RA group (procedure time; 65.2\u2009\u00b1\u200936.8min vs. 84.4\u2009\u00b1\u200943.1min, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001, fluoroscopy time; 33.1\u2009\u00b1\u200922.9min vs. 51.2\u2009\u00b1\u200929.6min, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001, and contrast volume; 232.9\u2009\u00b1\u2009141.6ml vs. 302.9\u2009\u00b1\u2009150.3ml, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The incidence of MACE at 1\u2010year was significantly higher amongst the unadjusted population, whereas the difference was less marked between groups after propensity\u2010score adjustment (unadjusted HR: 1.78; 95% CI: 1.16\u20132.74, <jats:italic>P<\/jats:italic>\u2009=\u20090.01, and adjusted HR: 1.44; 95% CI: 0.92\u20132.26, <jats:italic>P<\/jats:italic>\u2009=\u20090.11).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Planned RA appears to be safe and was associated with a reduction in procedural and fluoroscopy times, contrast volume, and the number of pre\u2010dilation balloon catheters used. If there is a strong likelihood of requiring RA for the treatment of severely calcified lesions, operators should have a low threshold for adopting a planned RA strategy. \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26411","type":"journal-article","created":{"date-parts":[[2016,1,17]],"date-time":"2016-01-17T08:42:56Z","timestamp":1453020176000},"page":"881-889","source":"Crossref","is-referenced-by-count":38,"title":["Planned versus provisional rotational atherectomy for severe calcified coronary lesions: Insights From the ROTATE multi\u2010center registry"],"prefix":"10.1002","volume":"88","author":[{"given":"Hiroyoshi","family":"Kawamoto","sequence":"first","affiliation":[{"name":"Interventional Cardiology Unit, San Raffaele Scientific Institute Milan Italy"},{"name":"Interventional Cardiology Unit, EMO\u2010GVM Centro Cuore Columbus Milan Italy"},{"name":"Interventional Cardiology Unit, New Tokyo Hospital Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azeem","family":"Latib","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit, San Raffaele Scientific Institute Milan Italy"},{"name":"Interventional Cardiology Unit, EMO\u2010GVM Centro Cuore Columbus Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Ruparelia","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit, San Raffaele Scientific Institute Milan Italy"},{"name":"Interventional Cardiology Unit, EMO\u2010GVM Centro Cuore Columbus Milan Italy"},{"name":"Department of Cardiology Imperial College London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo G.","family":"Boccuzzi","sequence":"additional","affiliation":[{"name":"Cardiology Department Ospedale San Giovanni Bosco Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Pennacchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular, Respiratory and Morphologic Sciences Policlinico Umberto I, \u201cSapienza\u201d University of Rome  Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gennaro","family":"Sardella","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular, Respiratory and Morphologic Sciences Policlinico Umberto I, \u201cSapienza\u201d University of Rome  Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Garbo","sequence":"additional","affiliation":[{"name":"Cardiology Department Ospedale San Giovanni Bosco Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuele","family":"Meliga","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit, a.O. 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