percutaneous coronary intervention PCI PCI 1 PCI coronary rotational atherectomy 1 CT coronary computed tomographic angiography CCTA Agatston 100

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1 Chin J Intervent Cardiol, 2014, Vol 22, No.2 69 R541.4 percutaneous coronary interventionpci coronary rotational atherectomy % DOI /j. issn [1-2] PCI 1 PCI 2 3 [3-4] CT 1 CT coronary computed tomographic angiographyccta Agatston % 95% 79% 0 50% 96% 100%

2 Chin J Intervent Cardiol, 2014, Vol 22, No %89% 98% X 3 intravascular ultrasound IVUSIVUS 90% 100% IVUS IVUS IVUS IVUS 4 optical coherence tomographyoct 96% 97% IVUS OCT PCI 1 CCTA 2 PCI CCTA IVUS OCT IVUS OCT 3 4 PCI 5 16 atm1 atm=101.3 kpa 16 atm 6 IVUS atm 2noncompliant balloon NB 3cutting ballooncb [5-7] IVUS 12 atm 1 2 mm2 20 mm % mm 80 David Auth 1988 Bertrand 1993 FDA 90% 95% drug eluting stentsdes 1 burr

3 Chin J Intervent Cardiol, 2014, Vol 22, No.2 71 DES [8-16] CTO [8,17] mm7 4 1 [18-19] 15 s 2 / / [18-19] 15 s b/ a PCI 1 2 CABG PCI IVUS CABG mm5 6

4 Chin J Intervent Cardiol, 2014, Vol 22, No.2 CCTAIVUSOCT DES IVUS PCI DES 1 Alexopoulos N, Raggi P. Calcification in atherosclerosis. Nat Rev Cardiol, 2009, Williams M, Shaw LJ, Raggi P, et al. Prognostic value of number and site of calcified coronary lesions compared with the total score. J Am Coll Cardiol Img, 2008, Tanigawa J, Barlis P, Di Mario C. Heavily calcified coronary lesions preclude strut apposition despite high pressure balloon dilation and rotational atherectomy: in-vivo demonstration with optical conherence tomography. Circ J, 2008, Reimers B, von Birgelen C, van der Giessen WJ, et al. A word of caution on optimizing stent deployment in calcified lesions: acute coronary rupture with cardiac tamponade. Am Heart J, 1996, Mauri L, Bonan R, Weiner BH, et al. Cutting balloon angioplasty for the prevention of restenosis: Results of the cutting Balloon Global Randomized Trial. Am J Cardiol, 2002, Albiero R, Silber S, Di Mario C, et al. Cutting balloon versus conventional balloon angioplasty for the treatment of in-stent restenosis: Result of the restenosis cutting balloon evaluation trial (RESCUT). J Am Coll Cardiol, 2004, Levine GN, Bates ER, Blankenship JC, et al ACCF/AHA/ SCAI Guideline for Percutaneous Coronary Intervention: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation, 2011, 124 e Moussa I, Di Mario C, Moses J, et al. Coronary stenting after

5 Chin J Intervent Cardiol, 2014, Vol 22, No.2 73 rotational atherectomy in calcified and complex lesions Angiographic and clinical follow-up results. Circulation, 1997, Ellis SG, Popma JJ, Buchbinder M, et al. Relation of clinical presentation, stenosis morphology, and operator technique to the procedural results of rotational atheretomy and rotational atherectomy-facilitated angioplasty. Circulation, 1994, Kobayashi Y, Teirstein P, Linnemeier T, et al. Rotational atherectomy (stentablation) in a lesion with stent underexpansion due to heavily calcified plaque. Catheter Cardiovasc Interv, 2001, Khattab AA, Otto A, Hochadel M, et al. Drug-eluting stents versus bare metal stents following rotational atherectomy for heavily calcified coronary lesions: late angiographic and clinical follow-up results. J Interv Cardiol, 2007, Hoffmann R, Mintz GS, Kent KM, et al. Comparative early and nine-month results of rotational atherectomy, stents, and the combination of both for calcified lesions in large coronary arteries. Am J Cardiol, 1998, Clavijo LC, Steinberg DH, Torguson R, et al. Sirolimus-eluting stents and clacified lesions: clinical outcomes of patients treated with and without rotational atherectomy. Catheter Cardiovasc Interv, 2006, Mezilis N, Dardas P, Ninios V, et al. Rotablation in the Drug Eluting Era: Immediate and Long-Term Results from a Single Center Experience. J Interv Cardiol, 2012, Benezet J, Diaz de la Llera LS, Cubero JM, et al. Drug-eluting stents following rotational atherectomy for heavily calcified coronary lesions: long-term clinical outcomes. J Invasive Cardiol, 2011, Rathore S, Matsuo H, Terashima M, et al. Rotational atherectomy for fibro-calcific coronary artery disease in drug eluting stent era: Procedural outcomes and angiographic follow-up results. Catheter Cardiovasc Interv, 2010, Cavusoglu E, Kini AS, Marmur JD, et al. Current Status of Rotational Atherectomy. Catheter Cardiovasc Interv, 2004, Safian RD, Feldman T, Muller DW, et al. Coronary angioplasty and Rotablator atherectomy trial (CARAT): immediate and late results of a prospective multicenter randomized trial. Catheter Cardiovasc Interv, 2001, Whitlow PL, Bass TA, Kipperman RM, et al. Results of the study to determine rotablator and transluminal angioplasty strategy (STRATAS). Am J Cardio, 2001, 87: GB/T et al Index Medicus