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Orbital atherectomy for treatment of calcified coronary artery lesions. Short-term outcomes of Lower-Silesia Orbital Atherectomy Registry (LOAR)

Piotr Rola12, Łukasz Furtan2, Szymon Włodarczak3, Artur Jastrzębski3, Mateusz Barycki2, Michalina Kędzierska4, Marek Szudrowicz3, Jan Jakub Kulczycki3, Adrian Doroszko5, Maciej Lesiak6, Adrian Włodarczak13
DOI: 10.33963/KP.a2023.0003
Pubmed: 36594531
  1. Faculty of Health Sciences and Physical Culture, Witelon Collegium State University, Legnica, Poland
  2. Department of Cardiology, Provincial Specialized Hospital in Legnica, Legnica, Poland
  3. Department of Cardiology, The Copper Health Center, Lubin, Poland
  4. Faculty of Medicine, Wroclaw Medical University, Wrocław, Poland
  5. Clinical Department of Internal Medicine and Occupational Diseases, Hypertension and Clinical Oncology, Faculty of Medicine, Wroclaw Medical University, Wrocław, Poland
  6. 1st Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland

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Published online: 2022-12-27


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Orbital atherectomy for treatment of calcified coronary artery lesions. Short-term outcomes of Lower-Silesia Orbital Atherectomy Registry (LOAR)


Kardiologia Polska (Polish Heart Journal)


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Piotr Rola
Łukasz Furtan
Szymon Włodarczak
Artur Jastrzębski
Mateusz Barycki
Michalina Kędzierska
Marek Szudrowicz
Jan Jakub Kulczycki
Adrian Doroszko
Maciej Lesiak
Adrian Włodarczak

References (15)
  1. Mintz G, Popma J, Pichard A, et al. Patterns of calcification in coronary artery disease. Circulation. 1995; 91(7): 1959–1965.
  2. Baruś P, Modrzewski J, Gumiężna K, et al. Comparative appraisal of intravascular ultrasound and optical coherence tomography in invasive coronary imaging: 2022 update. J Clin Med. 2022; 11(14).
  3. Généreux P, Lee AC, Kim CY, et al. Orbital atherectomy for treating de novo severely calcified coronary narrowing (1-year results from the pivotal ORBIT II trial). Am J Cardiol. 2015; 115(12): 1685–1690.
  4. Räber L, Mintz GS, Koskinas KC, et al. Clinical use of intracoronary imaging. Part 1: guidance and optimization of coronary interventions. An expert consensus document of the European Association of Percutaneous Cardiovascular Interventions. Eur Heart J. 2018; 39(35): 3281–3300.
  5. Zhang M, Matsumura M, Usui E, et al. Intravascular ultrasound-derived calcium score to predict stent expansion in severely calcified lesions. Circ Cardiovasc Interv. 2021; 14(10): e010296.
  6. Rola P, Włodarczak A, Kulczycki JJ, et al. Feasibility of the intravascular lithotripsy in coronary artery disease. Short-term outcomes of the Lower-Silesia Shockwave Registry. Kardiol Pol. 2021; 79(10): 1133–1135.
  7. Shlofmitz E, Shlofmitz R, Lee MS. Orbital atherectomy: a comprehensive review. Interv Cardiol Clin. 2019; 8(2): 161–171.
  8. Zieliński K, Kołtowski Ł, Kalińczuk Ł, et al. In‑hospital outcomes of rotational versus orbital atherectomy during percutaneous coronary intervention: a meta‑analysis. Kardiol Pol. 2019; 77(9): 846–852.
  9. Caiazzo G, Musci RL, Frediani L, et al. State of the art: no-reflow phenomenon. Cardiol Clin. 2020; 38(4): 563–573.
  10. Tomasiewicz B, Kubler P, Zimoch W, et al. Acute angulation and sequential lesion increase the risk of rotational atherectomy failure. Circ J. 2021; 85(6): 867–876.
  11. Rola P, Furtan Ł, Włodarczak S, et al. Rota-Lithotripsy as a novel bail-out strategy for highly calcified coronary lesions in acute coronary syndrome. Biomedicines. 2022; 10(11).
  12. Włodarczak A, Rola P, Barycki M, et al. Rota-Lithotripsy-A novel bail-out strategy for calcified coronary lesions in acute coronary syndrome. The first-in-man experience. J Clin Med. 2021; 10(9).
  13. Sabatowski K, Malinowski KP, Siudak Z, et al. Sex-related differences and rotational atherectomy: Analysis of 5 177 percutaneous coronary interventions based on a large national registry from 2014 to 2020. Kardiol Pol. 2021; 79(12): 1320–1327.
  14. Nowak A, Ratajczak J, Kasprzak M, et al. Long-term outcome of rotational atherectomy according to burr-to-artery ratio and changes in coronary artery blood flow: Observational analysis. Cardiol J. 2021 [Epub ahead of print].
  15. Rola P, Kulczycki JJ, Włodarczak A, et al. Intravascular lithotripsy as a novel treatment method for calcified unprotected left main diseases-comparison to rotational atherectomy-short-term outcomes. Int J Environ Res Public Health. 2022; 19(15).


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