Research Article

Rotablation in Patients with Advanced Renal Insufficiency through End-Stage Renal Disease: Short- and Intermediate-Term Results

Table 2

Lesion characteristics and procedural details of rotational atherectomy in patients with CR < 5 mg/dl and CR ≥ 5 mg/dl through ESRD.

VariablesGroup AGroup B value
(CR < 5 mg/dl) N = 338(CR ≥ 5 mg/dl through ESRD) N = 73

Access site
 Radial (N, %)120 (35.5%)3 (4.1%)<0.001
 Femoral (N, %)209 (61.8%)66 (90.4%)
 Brachial (N, %)9 (2.7%)4 (5.5%)
Guide size
 6F (N, %)114 (33.7%)15 (20.5%)0.026
 7F (N, %)220 (65.1%)55 (75.3%)
 8F (N, %)4 (1.2%)3 (4.1%)
Rotablation vessels
 LM (N, %)1 (0.3%)00.035
 LAD (N, %)196 (58.0%)29 (39.7%)
 LCX (N, %)26 (7.7%)10 (13.7%)
 RCA (N, %)57 (16.9%)20 (27.4%)
 LM + LAD (N, %)16 (4.7%)2 (2.7%)
 LM + LCX (N, %)6 (1.8%)2 (2.7%)
 LM + RCA (N, %)1 (0.3%)0
 LAD + LCX (N, %)20 (6.0%)3 (4.1%)
 LAD + RCA (N, %)10 (3.0%)3 (4.1%)
 LCX + RCA (N, %)1 (0.3%)0
 LM + LAD + LCX (N, %)1 (0.3%)3 (4.1%)
 LM + LAD + RCA (N, %)3 (0.9%)1 (1.4%)
Rotablation lesions
Location
 Ostial (N, %)123 (36.4%)26 (35.6%)0.914
 Proximal (N, %)251 (74.3%)55 (75.3%)0.762
 Middle (N, %)309 (91.4%)65 (89.0%)0.812
 Distal (N, %)238 (70.4%)50 (68.5%)0.519
Tortuosity (N, %)163 (48.2%)34 (46.6%)0.135
Bifurcation (N, %)114 (33.7%)20 (27.4%)0.405
Heavy calcification (N, %)337 (99.7%)72 (98.6%)0.854
Chronic total occlusion (N, %)46 (13.6%)9 (12.3%)0.771
Total lesion length (mm)44.6 ± 24.346.3 ± 25.80.584
Total lesion numbers (N)2.4 ± 1.12.5 ± 1.30.316
ACC/AHA lesion (N, %)
 B229 (8.6%)9 (12.3%)0.482
 C309 (91.4%)64 (87.7%)
Main/side branch rotablation (N, %)
 Main vessel only291 (86.1%)66 (90.4%)0.565
 Main + side branch31 (9.2%)4 (5.5%)
 Side branch only16 (4.7%)3 (4.1%)
Maximum burr size
 1.25 mm (N, %)57 (16.9%)14 (19.2%)0.217
 1.5 mm (N, %)201 (59.5%)38 (52.1%)
 1.75 mm (N, %)75 (22.2%)19 (26.0%)
 2.0 mm (N, %)5 (1.5%)1 (1.4%)
 2.25 mm (N, %)01 (1.4%)
Rotablation completed335 (99.1%)70 (95.9%)0.037
Stents (N, %)309 (91.4%)63 (86.3%)0.155
 BMS (N, %)76 (24.6%)14 (22.2%)
 DES (N, %)232 (75.1%)48 (76.2%)
 DEB (N, %)1 (0.3%)0
 BMS + DES (N, %)01 (1.4%)
 Mean stent numbers1.9 ± 0.92.0 ± 0.90.498
 Mean stent size (mm)3.0 ± 2.22.9 ± 0.40.692
 Total stent length (mm)52.1 ± 27.254.6 ± 28.00.568
SYNTAX score
 Baseline31.0 ± 14.330.5 ± 14.70.784
 Post-PCI8.4 ± 10.69.1 ± 9.50.580
 Gain22.6 ± 11.521.3 ± 11.20.397
 Total procedure time (min)160 ± 57163 ± 740.726
 Total fluoroscopic time (min)46.6 ± 22.750.0 ± 29.70.277
 Total contrast dose (ml)194.1 ± 73.4198.1 ± 66.40.695
 Hemodynamic support (N, %)55 (16.3%)8 (11.0%)0.253

BMS, bare-metal stent; CR, creatinine; DEB, drug-eluting balloon; DES, drug-eluting stent; ESRD, end-stage renal disease; LAD, left anterior descending artery; LCX, left circumflex artery; LM, left main coronary artery; PCI, percutaneous coronary intervention; RCA, right coronary artery.