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The Use of Rotational Atherectomy in the Treatment of Coronary Artery Disease – A Review of Efficacy, Safety, and Clinical Indications.

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Title: The Use of Rotational Atherectomy in the Treatment of Coronary Artery Disease – A Review of Efficacy, Safety, and Clinical Indications.
Authors: Wysieńska, Maria1 wysienska@gmail.com, Jóźwiak, Piotr2 piotr.jozwiak098@gmail.com, Rybak, Adam2 adam.rybak.99@gmail.com, Biaduń-Mućko, Weronika2 w.biadun1@gmail.com, Rogowska-Borettini, Kinga3 kinga.rogowska0504@gmail.com, Romanowska, Aleksandra4 olarrromanowska@gmail.com, Malmur, Paweł Arkadiusz4 pmalmur1@gmail.com
Source: Journal of Education, Health & Sport. 2026, Vol. 88, p1-13. 13p.
Subject Terms: Atherectomy, Coronary artery disease, Patient safety, Coronary artery calcification, Clinical indications, Atherosclerotic plaque, Percutaneous coronary intervention
Abstract: Coronary artery disease is a leading cause of death worldwide, and percutaneous coronary intervention (PCI) is a common treatment. The presence of calcified plaques often makes the procedure difficult, as they limit vessel expansion and proper stent placement. To improve outcomes, several plaque modification techniques have been developed. One of the most widely used is rotational atherectomy (RA). This method employs a diamond-coated burr that rotates at high speed, selectively removing hard, calcified tissue while sparing the softer vessel wall. RA is mainly used as a supportive technique to prepare the lesion and enable effective balloon angioplasty and stent implantation. Aim of the study: The purpose of this review is to present the current state of knowledge regarding rotational atherectomy, including its mechanism of action, clinical indications, efficacy, and potential complications. Additionally, the article reviews the role of this technique in contemporary guidelines and compares it with other available methods of calcification modification. Material and methods: A comprehensive literature review on rotational atherectomy was conducted, covering publications from 2000 to 2024. Databases such as PubMed, Scopus, and Web of Science were searched using keywords including "rotational atherectomy," "coronary artery disease," "calcified lesions," "PCI," and "atherosclerosis treatment." Clinical trials, meta-analyses, systematic reviews, and current cardiology society guidelines were included in the analysis. Conclusions: Rotational atherectomy represents an effective and safe adjunct to percutaneous treatment of calcified coronary lesions. Despite emerging competing technologies, its longstanding clinical experience and proven efficacy secure its continued role in the management of advanced coronary artery disease. Further research, especially comparative studies among plaque modification techniques, is needed to optimize therapeutic strategies and improve patient outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Education, Health & Sport is the property of Nicolaus Copernicus University in Torun and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Label: Title
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  Data: The Use of Rotational Atherectomy in the Treatment of Coronary Artery Disease – A Review of Efficacy, Safety, and Clinical Indications.
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  Data: <searchLink fieldCode="AR" term="%22Wysieńska%2C+Maria%22">Wysieńska, Maria</searchLink><relatesTo>1</relatesTo><i> wysienska@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Jóźwiak%2C+Piotr%22">Jóźwiak, Piotr</searchLink><relatesTo>2</relatesTo><i> piotr.jozwiak098@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Rybak%2C+Adam%22">Rybak, Adam</searchLink><relatesTo>2</relatesTo><i> adam.rybak.99@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Biaduń-Mućko%2C+Weronika%22">Biaduń-Mućko, Weronika</searchLink><relatesTo>2</relatesTo><i> w.biadun1@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Rogowska-Borettini%2C+Kinga%22">Rogowska-Borettini, Kinga</searchLink><relatesTo>3</relatesTo><i> kinga.rogowska0504@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Romanowska%2C+Aleksandra%22">Romanowska, Aleksandra</searchLink><relatesTo>4</relatesTo><i> olarrromanowska@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Malmur%2C+Paweł+Arkadiusz%22">Malmur, Paweł Arkadiusz</searchLink><relatesTo>4</relatesTo><i> pmalmur1@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Education%2C+Health+%26+Sport%22">Journal of Education, Health & Sport</searchLink>. 2026, Vol. 88, p1-13. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Atherectomy%22">Atherectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Coronary+artery+disease%22">Coronary artery disease</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Coronary+artery+calcification%22">Coronary artery calcification</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+indications%22">Clinical indications</searchLink><br /><searchLink fieldCode="DE" term="%22Atherosclerotic+plaque%22">Atherosclerotic plaque</searchLink><br /><searchLink fieldCode="DE" term="%22Percutaneous+coronary+intervention%22">Percutaneous coronary intervention</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Coronary artery disease is a leading cause of death worldwide, and percutaneous coronary intervention (PCI) is a common treatment. The presence of calcified plaques often makes the procedure difficult, as they limit vessel expansion and proper stent placement. To improve outcomes, several plaque modification techniques have been developed. One of the most widely used is rotational atherectomy (RA). This method employs a diamond-coated burr that rotates at high speed, selectively removing hard, calcified tissue while sparing the softer vessel wall. RA is mainly used as a supportive technique to prepare the lesion and enable effective balloon angioplasty and stent implantation. Aim of the study: The purpose of this review is to present the current state of knowledge regarding rotational atherectomy, including its mechanism of action, clinical indications, efficacy, and potential complications. Additionally, the article reviews the role of this technique in contemporary guidelines and compares it with other available methods of calcification modification. Material and methods: A comprehensive literature review on rotational atherectomy was conducted, covering publications from 2000 to 2024. Databases such as PubMed, Scopus, and Web of Science were searched using keywords including "rotational atherectomy," "coronary artery disease," "calcified lesions," "PCI," and "atherosclerosis treatment." Clinical trials, meta-analyses, systematic reviews, and current cardiology society guidelines were included in the analysis. Conclusions: Rotational atherectomy represents an effective and safe adjunct to percutaneous treatment of calcified coronary lesions. Despite emerging competing technologies, its longstanding clinical experience and proven efficacy secure its continued role in the management of advanced coronary artery disease. Further research, especially comparative studies among plaque modification techniques, is needed to optimize therapeutic strategies and improve patient outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Education, Health & Sport is the property of Nicolaus Copernicus University in Torun and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=192164231
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.12775/JEHS.2026.88.68098
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 13
        StartPage: 1
    Subjects:
      – SubjectFull: Atherectomy
        Type: general
      – SubjectFull: Coronary artery disease
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Coronary artery calcification
        Type: general
      – SubjectFull: Clinical indications
        Type: general
      – SubjectFull: Atherosclerotic plaque
        Type: general
      – SubjectFull: Percutaneous coronary intervention
        Type: general
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            NameFull: Wysieńska, Maria
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            NameFull: Malmur, Paweł Arkadiusz
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              Text: 2026
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