{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T04:53:19Z","timestamp":1767761599169,"version":"3.48.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although rotational atherectomy (RA) has been proven to be a useful tool for severely calcified lesions in patients with chronic kidney disease (CKD), there is a paucity of data comparing an elective RA (E\u2010RA) versus a bailout RA (B\u2010RA) strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To compare the long\u2010term outcomes between E\u2010RA versus B\u2010RA in patients with CKD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, multicentre, randomized study compared E\u2010RA versus B\u2010RA in severely calcified lesions in patients with CKD. Participants were randomized 1:1 and clinically followed. The primary endpoint was major cardiovascular events (MACE) defined as cardiovascular death, myocardial infarction (MI), target vessel revascularization (TVR), target lesion revascularization (TLR) or stent thrombosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      124 patients (62 per group) were enrolled and followed up for a median of 4.2 [3.4\u20135.3] years. Mean age was 77.3\u2009\u00b1\u20098.3 years; 69.4% were male. There were no baseline differences between groups. There were no differences in MACE (B\u2010RA: 23.3% vs E\u2010RA: 21.3%; log\u2010rank\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.97), death (B\u2010RA: 36.7% vs E\u2010RA: 41.0%; log\u2010rank\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.53), cardiovascular death (B\u2010RA: 8.3% vs E\u2010RA: 9.8%; log\u2010rank\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.71) and MI during long\u2010term follow\u2010up between E\u2010RA and B\u2010RA strategies. There was a non\u2010significant trend toward fewer TVR events (HR: 0.69; 95% CI: 0.19\u20132.44;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.56) and TLR events (HR: 0.51; 95% CI: 0.13\u20132.06;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.35) in the E\u2010RA group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both E\u2010RA and B\u2010RA showed a high rate of clinical events in the long\u2010term follow\u2010up, consistent with a high\u2010risk population. A non\u2010significant trend toward lower rates of TVR and TLR was observed in E\u2010RA group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70353","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T09:24:58Z","timestamp":1763976298000},"page":"431-438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Coronary Rotational ATherectomy Elective Versus Bailout in Patients With Severely Calcified Lesions and Chronic Renal Failure: Long\u2010Term Outcomes of CRATER Trial"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4744-4306","authenticated-orcid":false,"given":"Jon","family":"Zubiaur","sequence":"first","affiliation":[{"name":"Cardiology Department La Paz University Hospital Madrid Spain"},{"name":"Fundaci\u00f3n de Investigaci\u00f3n IDIPAZ Madrid 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