Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics: update 2023

Kenichi Sakakura; Yoshiaki Ito; Yoshisato Shibata; Atsunori Okamura; Yoshifumi Kashima; Shigeru Nakamura; Yuji Hamazaki; Junya Ako; Hiroyoshi Yokoi; Yoshio Kobayashi; Yuji Ikari

doi:10.1007/s12928-022-00906-7

Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics: update 2023

Cardiovasc Interv Ther. 2023 Apr;38(2):141-162. doi: 10.1007/s12928-022-00906-7. Epub 2023 Jan 16.

Authors

Affiliations

¹ Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya, Saitama, 330-8503, Japan. ksakakura@jichi.ac.jp.
² Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan.
³ Department of Cardiology, Miyazaki Medical Association Hospital, Miyazaki, Japan.
⁴ Division of Cardiology, Sakurabashi Watanabe Hospital, Osaka, Japan.
⁵ Division of Interventional Cardiology, Sapporo Cardio Vascular Clinic, Sapporo Heart Center, Sapporo, Japan.
⁶ Cardiovascular Center, Kyoto Katsura Hospital, Kyoto, Japan.
⁷ Division of Cardiology, Ootakanomori Hospital, Kashiwa, Japan.
⁸ Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
⁹ Department of Cardiology, Fukuoka Sanno Hospital, Fukuoka, Japan.
¹⁰ Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
¹¹ Department of Cardiology, Tokai University School of Medicine, Isehara, Japan.

Abstract

The Task Force on Rotational Atherectomy of the Japanese Association of Cardiovascular Intervention and Therapeutics (CVIT) proposed the expert consensus document to summarize the techniques and evidences regarding rotational atherectomy (RA) in 2020. Because the revascularization strategy to severely calcified lesions is the hottest topic in contemporary percutaneous coronary intervention (PCI), many evidences related to RA have been published since 2020. Latest advancements have been incorporated in this updated expert consensus document.

Keywords: Calcification; Intravascular ultrasound; Optical coherence tomography; Percutaneous coronary intervention; Rotational atherectomy.

Publication types

Review

MeSH terms

Atherectomy, Coronary* / methods
Consensus
Coronary Artery Disease* / diagnosis
Coronary Artery Disease* / surgery
East Asian People
Humans
Percutaneous Coronary Intervention*
Treatment Outcome
Vascular Calcification* / surgery