Intravascular Lithotripsy or Mechanical Debulking in Complex Calcified Coronary Arteries

JACC: Cardiovascular Interventions 2026 Open access

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Authors: Enrico Cerrato, Marco Pavani, Simone Zecchino, Massimo Leoncini, Greca Zanda, Mohamed O. Abdirashid, S Cordone, Annamaria Nicolino, A Franzé, Alessandro Bernardi, Veronica Lio, Alberto Boi
+13 more Giorgio Marengo, Davide Giacomo Presutti, Paolo Vadalà, Gioel Gabrio Secco, Federico Conrotto, Rocco Vergallo, Alberto Menozzi, Paola Berchialla, Francesco Tomassini, G. Patti, Giuseppe Musumeci, A. Chinaglia, Ferdinando Varbella
DOI: 10.1016/j.jcin.2025.11.033
Cited by: 12
References: 16

Abstract

BACKGROUND: Prospective data on the contemporary use of different coronary calcium debulking techniques are lacking. OBJECTIVES: The authors compared intravascular lithotripsy (IVL) vs atherectomy (AT) devices (rotational and orbital atherectomy) in a real-world all-comer population. METHODS: The ROLLING STONE Registry prospectively enrolled patients treated with IVL and/or AT across 23 Italian centers. Primary efficacy endpoint was procedural success (residual stenosis

Fields of Study & Subjects

Coronary Interventions and Diagnostics Peripheral Artery Disease Management Blood properties and coagulation

Publication details

Journal / source
JACC: Cardiovascular Interventions
Publisher
Elsevier BV
Volume
19
Issue
5
Pages
571–582
Publication date
29 January 2026
Language
EN