{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T20:25:14Z","timestamp":1785011114276,"version":"3.55.0"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[1997,7]]},"abstract":"<jats:p>\n            <jats:italic>Background<\/jats:italic>\n            Treatment of calcified (in contrast to simple) lesions with PTCA has been associated with a lower success rate and more procedural complications. Rotablation can improve acute results, but the high restenosis rate remains a problem. The purpose of this study was to evaluate the clinical and angiographic outcome of patients with complex and calcified lesions treated with a combination of rotablation and stenting.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods and Results<\/jats:italic>\n            Seventy-five consecutive patients with 106 lesions had rotablation prior to coronary stenting. Intravascular ultrasound\u2013guided stenting was used without subsequent anticoagulation in 93% of patients. Procedural success was achieved in 93.4% of lesions. Acute stent thrombosis occurred in two lesions (1.9%), and subacute stent thrombosis in one lesion (0.9%). Angiographic follow-up was performed in 82.5% of lesions at 4.6\u00b11.9 months with an angiographic restenosis rate of 22.5%. Clinical follow-up was performed in all patients at 6.4\u00b13 months; target lesion revascularization was needed in 18% of lesions, Q-wave myocardial infarction occurred in 1.3%, coronary bypass surgery in 4.0%, and death in 1.3%.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            Optimal coronary stenting after rotablation in calcified and complex lesions can be performed with a high success rate, an acceptable rate of procedural complications, and a low rate of stent thrombosis. This approach was associated with a low incidence of angiographic restenosis compared with results usually obtained with other interventional strategies in calcified and complex lesion subsets.\n          <\/jats:p>","DOI":"10.1161\/01.cir.96.1.128","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T00:41:02Z","timestamp":1339461662000},"page":"128-136","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":233,"title":["Coronary Stenting After Rotational Atherectomy in Calcified and Complex Lesions"],"prefix":"10.1161","volume":"96","author":[{"given":"Issam","family":"Moussa","sequence":"first","affiliation":[{"name":"From the Centro Cuore Columbus (I.M., C. Di M., B.R., L. Di F., G.M., A.C.), Milan, Italy; Lenox Hill Hospital (J.M.), New York, NY; and the Department of Cardiology, University of California (J.T.), Irvine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Di Mario","sequence":"additional","affiliation":[{"name":"From the Centro Cuore Columbus (I.M., C. Di M., B.R., L. Di F., G.M., A.C.), Milan, Italy; Lenox Hill Hospital (J.M.), New York, NY; and the Department of Cardiology, University of California (J.T.), Irvine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Moses","sequence":"additional","affiliation":[{"name":"From the Centro Cuore Columbus (I.M., C. Di M., B.R., L. Di F., G.M., A.C.), Milan, Italy; Lenox Hill Hospital (J.M.), New York, NY; and the Department of Cardiology, University of California (J.T.), Irvine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Reimers","sequence":"additional","affiliation":[{"name":"From the Centro Cuore Columbus (I.M., C. Di M., B.R., L. Di F., G.M., A.C.), Milan, Italy; Lenox Hill Hospital (J.M.), New York, NY; and the Department of Cardiology, University of California (J.T.), Irvine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Di Francesco","sequence":"additional","affiliation":[{"name":"From the Centro Cuore Columbus (I.M., C. Di M., B.R., L. Di F., G.M., A.C.), Milan, Italy; Lenox Hill Hospital (J.M.), New York, NY; and the Department of Cardiology, University of California (J.T.), Irvine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Martini","sequence":"additional","affiliation":[{"name":"From the Centro Cuore Columbus (I.M., C. Di M., B.R., L. Di F., G.M., A.C.), Milan, Italy; Lenox Hill Hospital (J.M.), New York, NY; and the Department of Cardiology, University of California (J.T.), Irvine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Tobis","sequence":"additional","affiliation":[{"name":"From the Centro Cuore Columbus (I.M., C. Di M., B.R., L. Di F., G.M., A.C.), Milan, Italy; Lenox Hill Hospital (J.M.), New York, NY; and the Department of Cardiology, University of California (J.T.), Irvine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Colombo","sequence":"additional","affiliation":[{"name":"From the Centro Cuore Columbus (I.M., C. Di M., B.R., L. Di F., G.M., A.C.), Milan, Italy; Lenox Hill Hospital (J.M.), New York, NY; and the Department of Cardiology, University of California (J.T.), Irvine."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.85.3.1537128"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199408253310802"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199408253310801"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(07)80008-1"},{"key":"e_1_3_2_5_2","first-page":"231","volume":"43","year":"1990","unstructured":"Alfonso F, Macaya C, Iniguez A, Fernandez Ortiz A, Zarco P. Coronary angioplasty of calcified lesions. 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