Comparison of rotational atherectomy and modified balloons for calcified lesion preparation: a single-centre experience.
D, M., K, G., J, S., J, J., K, C.L., A, Đ.H., J, M., M, K.P., & I, H. (2026). Comparison of rotational atherectomy and modified balloons for calcified lesion preparation: a single-centre experience.. Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia. https://doi.org/10.17392/medglas-2176-23-2
D M, K G, J S, J J, K CL, A ĐH, et al. Comparison of rotational atherectomy and modified balloons for calcified lesion preparation: a single-centre experience.. Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia. 2026; doi: 10.17392/medglas-2176-23-2
D M, K G, J S, et al. Comparison of rotational atherectomy and modified balloons for calcified lesion preparation: a single-centre experience.[J]. Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia. 2026. DOI: 10.17392/medglas-2176-23-2.
@article{d2026,
author = {Mišković D and Gabaldo K and Silović J and Jakab J and Cvitkušić Lukenda K and Đanić Hadžibegović A and Milić J and Knežević Praveček M and Hadžibegović I},
title = {Comparison of rotational atherectomy and modified balloons for calcified lesion preparation: a single-centre experience.},
journal = {Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia},
year = {2026},
doi = {10.17392/medglas-2176-23-2},
note = {PMID: 42592981},
}
TY - JOUR AU - Mišković D AU - Gabaldo K AU - Silović J AU - Jakab J AU - Cvitkušić Lukenda K AU - Đanić Hadžibegović A AU - Milić J AU - Knežević Praveček M AU - Hadžibegović I TI - Comparison of rotational atherectomy and modified balloons for calcified lesion preparation: a single-centre experience. T2 - Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia PY - 2026 DO - 10.17392/medglas-2176-23-2 AN - PMID:42592981 ER -
AIM: To compare the efficacy and safety of rotational atherectomy (RA) and modified balloons (MB) for calcified coronary lesion preparation. METHODS: 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 <10% residual stenosis and final Thrombolysis in Myocardial Infarction grade 3 flow. RESULTS: Baseline age and renal function were comparable between groups. Microcatheter use was more frequent in the RA group (p<0.001), whereas smoking was more prevalent in the MB group (p=0.043). Fluoroscopy time was longer in the RA group (p<0.001). Cardiovascular mortality and procedural success did not differ significantly between groups. CONCLUSION: 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.