{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:47:54Z","timestamp":1785415674866,"version":"3.56.0"},"reference-count":0,"publisher":"Medical Association of Zenica-Doboj","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MG"],"accepted":{"date-parts":[[2026,7,6]]},"abstract":"<jats:p>Aim: To compare the efficacy and safety of rotational atherectomy (RA) and modified balloons (MB) for calcified coronary lesion preparation.\nMethods: This retrospective, single-centre study included 92 consecutive patients with angiographically significant coronary artery calcification (CAC) treated between September 2021 and December 2024. Patients were stratified according to lesion-preparation strategy: RA with the RotaPro system (Boston Scientific, Marlborough, MA, USA) (n = 42) or MB, including scoring or cutting balloons (n = 50). Patients treated with intravascular lithotripsy, super-high-pressure balloons, or non-compliant balloons alone were excluded. The primary endpoint was 1-year cardiovascular mortality, and the secondary endpoint was procedural success, defined as successful stent or drug-coated balloon implantation with &amp;lt;10% residual stenosis and final Thrombolysis in Myocardial Infarction grade 3 flow.\nResults: Baseline age and renal function were comparable between groups. Microcatheter use was more frequent in the RA group (p&amp;lt;0.001), whereas smoking was more prevalent in the MB group (p=0.043). Fluoroscopy time was longer in the RA group (p&amp;lt;0.001). Cardiovascular mortality and procedural success did not differ significantly between groups.\nConclusion: In this real-world single-centre experience, RA and MB showed comparable feasibility and one-year clinical outcomes for the treatment of CAC. A lesion-specific approach integrating RA, MB and intravascular lithotripsy may optimise the management of calcified coronary lesions.<\/jats:p>","DOI":"10.17392\/medglas-2176-23-2","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T21:17:01Z","timestamp":1784755021000},"source":"Crossref","is-referenced-by-count":0,"title":["Comparison of rotational atherectomy and modified balloons for calcified lesion preparation: a single-centre experience"],"prefix":"10.17392","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4600-0498","authenticated-orcid":false,"given":"Domagoj","family":"Mi\u0161kovi\u0107","sequence":"first","affiliation":[{"name":"General Hospital \u201cDr. Josip Ben\u010devi\u0107\u201d, Slavonski Brod, Croatia"},{"id":[{"id":"https:\/\/ror.org\/05sw4wc49","id-type":"ROR","asserted-by":"publisher"}],"name":"University of 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Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5023-4409","authenticated-orcid":false,"given":"Jelena","family":"Jakab","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05sw4wc49","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Osijek"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6188-0708","authenticated-orcid":false,"given":"Katica","family":"Cvitku\u0161i\u0107 Lukenda","sequence":"additional","affiliation":[{"name":"General Hospital \u201cDr. Josip Ben\u010devi\u0107\u201d, Slavonski Brod, Croatia"},{"id":[{"id":"https:\/\/ror.org\/05sw4wc49","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Osijek"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8513-5032","authenticated-orcid":false,"given":"Ana","family":"\u0110ani\u0107 Had\u017eibegovi\u0107","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05sw4wc49","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Osijek"},{"id":[{"id":"https:\/\/ror.org\/00mv6sv71","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Zagreb"},{"name":"University Hospital Centre Zagreb, Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2543-2857","authenticated-orcid":false,"given":"Jakov","family":"Mili\u0107","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00mv6sv71","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Zagreb"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8727-7357","authenticated-orcid":false,"given":"Marijana","family":"Kne\u017eevi\u0107 Prave\u010dek","sequence":"additional","affiliation":[{"name":"General Hospital \u201cDr. Josip Ben\u010devi\u0107\u201d, Slavonski Brod, Croatia"},{"id":[{"id":"https:\/\/ror.org\/05sw4wc49","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Osijek"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3768-9134","authenticated-orcid":false,"given":"Irzal","family":"Had\u017eibegovi\u0107","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05sw4wc49","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Osijek"},{"name":"Clinic for Cardiovascular Medicine, Dubrava University Hospital, Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"49509","published-online":{"date-parts":[[2026,7,22]]},"container-title":["Medicinski glasnik"],"original-title":[],"link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/760\/galley\/674\/download\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:57:03Z","timestamp":1785329823000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/760\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,22]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,6,17]]}},"URL":"https:\/\/doi.org\/10.17392\/medglas-2176-23-2","relation":{},"ISSN":["1840-0132","1840-2445"],"issn-type":[{"value":"1840-0132","type":"print"},{"value":"1840-2445","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,22]]},"article-number":"760"}}