{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T05:15:37Z","timestamp":1775106937965,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Rotational atherectomy (RA) is an established strategy for modifying heavily calcified coronary arteries, but its value in myocardial infarction (MI) remains uncertain. This study compared the clinical outcomes of RA\u2010assisted percutaneous coronary intervention (PCI) in MI and non\u2010MI patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed 152 patients undergoing RA\u2010assisted PCI at a tertiary center (2020\u20132024). Patients were stratified into MI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200952) and non\u2010MI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009100) groups. Baseline characteristics, procedural outcomes, and follow\u2010up events were compared. The primary endpoints were all\u2010cause mortality, cardiovascular (CV) death, target lesion revascularization (TLR), and major adverse CV events (MACE).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median follow\u2010up was 494 days. Procedural success rates were similar between groups (98.1% vs. 99.0%). The MI group had a lower left ventricular ejection fraction, poorer renal function, and more often required intra\u2010aortic balloon pump support. Periprocedural complications were similar between groups (15.4% vs. 13.0%). The MI group had higher all\u2010cause mortality (32.7% vs. 16.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018), early (6\u2010month) TLR (6.5% vs. 0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012), and 6\u2010 and 12\u2010month MACE rates (23.9% vs. 9.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020; 19.2% vs. 2.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006) than the non\u2010MI group. After 1 year of follow\u2010up, clinical outcomes were similar between groups. Multivariate analysis identified reduced ejection fraction as an independent predictor of mortality (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041). TLR\u2010free survival was not significantly different in multivariate analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RA\u2010assisted PCI is feasible and safe in MI patients, with similar procedural success and complication rates compared to non\u2010MI patients. Impaired left ventricular function and poor renal function were predictors of 1\u2010year all\u2010cause mortality, but long\u2010term TLR\u2010free survival was not.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70487","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T10:45:38Z","timestamp":1770029138000},"page":"1418-1427","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Clinical Outcomes in Myocardial Infarction Patients Underwent Coronary Intervention With Rotational Atherectomy: A Single\u2010Center Retrospective Study in Southern Taiwan"],"prefix":"10.1002","volume":"107","author":[{"given":"Ding\u2010Sen","family":"Huang","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih\u2010Yuan","family":"Fang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su\u2010Kai","family":"Hsueh","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chien\u2010Jen","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiung\u2010Jen","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiu\u2010Yu","family":"Fang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.846564"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-19-01129"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.118.007448"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.008239"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-15-00485"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytad207"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/circ.150.suppl_1.4139467"},{"key":"e_1_2_8_9_1","first-page":"1","article-title":"Clinical Outcome of Rotational Atherectomy in Acute Coronary Syndrome Patients: From the Taiwan Society of Cardiovascular Intervention Retrospective Registry","volume":"13","author":"Chen YAC S. 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