Calcified lesions treated with rotational atherectomy—much more advantages than real hazards

The presence of coronary artery calcifications is a known predictive factor of poor prognosis in patients undergoing percutaneous coronary interventions (PCI). Despite the development of more technologically advanced devices and methods such as supportive catheters, cutting balloons, very high pressure and low-profile balloons, laser and orbital atherectomy or Lithoplasty—rotational atherectomy (RA) still remains the most commonly used worldwide technique to modify calcified plaques.