Plaque Modification

Pave the Way to Success with Vessel Preparation

Meet the technical challenges of complex lesions head on. Plaque modification can positively impact outcomes by optimizing PCI  in complex lesions. Partner with Boston Scientific to access a complete set of tools that will help you master plaque modification in calcified or fibrotic lesions.

Benefits of Plaque Modification with Cutting Balloon

  • Changes compliance in resistant lesions
  • Helps minimize vessel trauma1,2
  • Reduces plaque burden and/or minimizes plaque shift2,5,6
  • Reduces elastic recoil3,4

Quality OutcomesQuality Outcomes

39% lower restensosis rates
In the CAPAS trial, three-month restenosis rates in small vessels were lower with Flextome Cutting Balloon compared to POBA7

Lower rates of dissections and perforations
Real World data shows Flextome Cutting Balloon achieves excellent acute outcomes in small vessel, bifurcation, and ostial lesions8

Operational Efficiency

Survey Results: Estimated 23%9 reduction in stent usage of $38010 per procedure
In a blinded US survey of 62 Interventional Cardiologists, the majority of ICs estimate that using Flextome in complex PCI procedures reduces stent usage9

Financial Health

Potential savings of $633 per patient
In the REDUCE III study, TLR rates were 4.5% better at six months, resulting in less (fewer) revascularization procedures11

Benefits of Plaque Modification with Rotational Atherectomy

  • Increases procedural success in calcified lesions12
  • Facilitate stent delivery in undilatable lesions
  • Reduces suboptimal stent expansion

Quality OutcomesQuality Outcomes

Adequate Lesion Preparation
Treating calcium prior to stent deployment increases asymmetrical expansion up to 50% potentially avoiding a $14,050 procedure cost13 for revascularization

Operational Efficiency

Procedure success may result in ~$6,450 higher inpatient payment
Hospital inpatient weighted payment for completed PCI is reimbursed more than an attempted PCI14

Survey Results: Average procedure time is reduced by 3 minutes15
In a blinded US survey of 62 ICs, the majority of ICs who use Rotablator in complex cases estimate reduced procedure time

Patient Experience

10% increase in procedural success16 results in reduced medical management and bypass surgery, leading to higher patient satisfaction
Procedural success may result in ~$6,450 higher inpatient payment

Financial Health

53% increase for hospital outpatient CY2015 payment13 for atherectomy
Outpatient procedures are not subject to the two midnight rule17

Significant increase in CY2015 outpatient reimbursement
$5,200 increase in hospital payments for coronary stenting with atherectomy18