TY - CHAP M1 - Book, Section TI - Coronary Atherectomy: Concepts and Practice A1 - Don, Creighton W. A1 - Vadlamani, Lou A1 - Reisman, Mark A2 - Samady, Habib A2 - Fearon, William F. A2 - Yeung, Alan C. A2 - King III, Spencer B. Y1 - 2017 N1 - T2 - Interventional Cardiology, 2e AB - Coronary atherectomy continues to be an important tool for percutaneous coronary intervention (PCI), particularly as the population ages and more patients present with complex calcified coronary artery disease. Early studies using rotational and laser atherectomy failed to demonstrate a clear advantage over angioplasty alone, and as such, atherectomy of straightforward atherosclerotic disease is not commonly used.1 With the very low restenosis rates of second-generation drug-eluting stents (DESs) in many lesion types, contemporary practice is to use atherectomy primarily as adjunctive therapy for plaque modification of calcific lesions that cannot be crossed with devices or dilated with balloons to enable DES delivery. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesscardiology.mhmedical.com/content.aspx?aid=1146790230 ER -